Individual
SHARON DENISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 CLARA WILLIAMS RD, ST STEPHENS, AL 36569-6605
(205) 902-5059
(205) 900-7300
Mailing address
PO BOX 42, ST STEPHENS, AL 36569-0042
(205) 902-5059
(205) 900-7300
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
5434119
AL
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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