CLARK KOHOUT

KENNESAW, GA
NPI1881114890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN227507)
Enumeration Date2017-06-21
Last Update Date2017-06-21
Business Address
CLARK KOHOUT RN
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
Mailing Address
CLARK KOHOUT RN
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147