Individual
AMANDA LEIGH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
5655 FRIST BLVD, HERMITAGE, TN 37076-2053
(615) 316-3000
Mailing address
7520 OAK COVE DR, BILOXI, MS 39532-5054
(228) 324-8126
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
214724
MS
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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