CASEY DANIEL CLARK

MACON, GA
NPI1225542558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN214247)
Enumeration Date2017-11-22
Last Update Date2017-11-22
Business Address
CASEY DANIEL CLARK NP
230 SHERATON BLVD
MACON, GA 31210-1358
Phone number: 478-474-2947
Mailing Address
CASEY DANIEL CLARK NP
230 SHERATON BLVD
MACON, GA 31210-1358
Phone number: 478-474-2947
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