Individual
CLARISSA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 WRIGHTSBORO RD, AUGUSTA, GA 30904-4049
(706) 736-8170
(706) 736-4199
Mailing address
1727 WRIGHTSBORO RD, AUGUSTA, GA 30904-4049
(706) 736-8170
(706) 736-4199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN060937
GA
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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