Individual
MRS. GENEVE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6312 WINDY RIDGE WAY, LITHONIA, GA 30058-6630
(678) 526-5095
Mailing address
6312 WINDY RIDGE WAY, LITHONIA, GA 30058-6630
(678) 526-5095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN179755
GA
Other
Enumeration date
01/29/2011
Last updated
01/29/2011
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