KELLEY NICHOLA CLARK

LAWRENCEVILLE, GA
NPI1245652528
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R196154)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  GAA-CRNA004022)
Enumeration Date2014-01-06
Last Update Date2026-02-23
Business Address
KELLEY NICHOLA CLARK CRNA
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-1000
Mailing Address
KELLEY NICHOLA CLARK CRNA
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-1000