Individual
CARLY VIRGINIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(470) 389-6576
Mailing address
85 BELLASERA WAY, RICHMOND HILL, GA 31324-7826
(470) 389-6576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
GA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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