Individual provider · Type 1 NPI
Laura Clark
Specialist · Bethlehem, GA
NPI number
1821220575
Active
Practice location
283 Winslow Way
Bethlehem, GA 30620-3248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 37433 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1821220575
Laura Clark's National Provider Identifier is 1821220575, issued on Aug 13, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bethlehem, GA. The record was last updated on Aug 13, 2009.