Individual
MRS. RENEE CLARKE-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
958 JOE FRANK HARRIS PKWY SE BLDG A, SUTE 101, CARTERSVILLE, GA 30120-2175
(770) 386-3011
Mailing address
PO BOX 200429, CARTERSVILLE, GA 30120-9008
(770) 386-3011
(770) 386-4966
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN180285
GA
Other
Enumeration date
03/17/2011
Last updated
11/07/2012
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