Individual
SAVANNAH EMILY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 STANTON RD, MOBILE, AL 36617-2344
(251) 471-7207
(251) 471-7468
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2053
AL
Other
Enumeration date
07/21/2021
Last updated
10/24/2022
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