Organization · Type 2 NPI

Clark Family Care LLC

Primary Care Clinic/Center · Sylvania, GA

NPI number 1114594389 Active

Practice location

715 W Ogeechee St
Sylvania, GA 30467-8693

Fax (912) 451-4105

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1114594389

Clark Family Care LLC's National Provider Identifier is 1114594389, issued on Jun 7, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Sylvania, GA. The record was last updated on Oct 20, 2026.