Individual
AMBER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1254 HOMER CITY WAY, POOLER, GA 31322-3320
(912) 659-8923
Mailing address
1254 HOMER CITY WAY, POOLER, GA 31322-3320
(912) 659-8923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN240397
GA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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