Individual
ANNA E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 MEMORIAL HOSPITAL DR, SUITE 3A, MOBILE, AL 36608-1185
(251) 342-2641
(251) 343-9507
Mailing address
100 MEMORIAL HOSPITAL DR, SUITE 3A, MOBILE, AL 36608-1185
(251) 342-2641
(251) 343-9507
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA514
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941968
—
AL
Enumeration date
02/28/2007
Last updated
02/28/2014
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