Individual
ALLYSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1984 WINDSOR CREEK DR SW, CONYERS, GA 30094-5806
(678) 552-7962
(888) 270-0721
Mailing address
1984 WINDSOR CREEK DR SW, CONYERS, GA 30094-5806
(678) 552-7962
(888) 270-0721
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN299228
GA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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