Individual
MRS. GRACE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-B
Contact information
Practice address
3825 MEDICAL PARK DR, SUITE 100, AUSTELL, GA 30106-6831
(770) 948-5578
Mailing address
3825 MEDICAL PARK DR, SUITE 100, AUSTELL, GA 30106-6831
(770) 948-5578
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 243044
GA
363LP2300X
Primary Care Nurse Practitioner
RN243044
GA
Other
Enumeration date
05/09/2016
Last updated
01/03/2019
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