Individual
SARABETH LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2173 MAIN ST, MADISON, MS 39110-6309
(601) 605-3858
(601) 605-3898
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
865829
MS
363LF0000X
Family Nurse Practitioner
Primary
906228
MS
Other
Enumeration date
08/29/2023
Last updated
06/28/2024
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