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1487161030
CARLA CLARK GAY
VIDALIA, GA
NPI
1487161030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN230655)
Enumeration Date
2018-01-04
Last Update Date
2018-03-07
Business Address
CARLA CLARK GAY NP
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474-8852
Phone number: 912-535-3500
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Mailing Address
CARLA CLARK GAY NP
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-535-3500
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