Individual
KASHEITA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 RESERVATION WAY, AUGUSTA, GA 30909-4805
(347) 883-1592
Mailing address
255 RESERVATION WAY, AUGUSTA, GA 30909-4805
(347) 883-1592
Taxonomy
Speciality
Code
Description
License number
State
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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