Individual provider · Type 1 NPI

Tonya Brook Clark

Student in an Organized Health Care Education/Training Program · Gainesville, GA

NPI number 1891531158 Active

Practice location

743 Spring St NE
Gainesville, GA 30501-3715

Call (770) 219-9000 Map

Mailing address

3450 Crown Dr
Gainesville, GA 30506-1408

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891531158

Tonya Brook Clark's National Provider Identifier is 1891531158, issued on Jul 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, GA. The record was last updated on Jul 6, 2024.