Individual
MRS. KARMEN RENEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3631 BIENVILLE BLVD, SUITE A, OCEAN SPRINGS, MS 39564-5702
(228) 818-9620
(228) 818-9750
Mailing address
6212 BROWNING DR., OCEAN SPRINGS, MS 39564
(228) 238-7443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA075
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357210
—
MS
Enumeration date
12/05/2006
Last updated
05/02/2022
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