SHANTERA CLARK

STATESBORO, GA
NPI1962020057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN220889)
Enumeration Date2020-07-06
Last Update Date2022-08-04
Business Address
Mrs. SHANTERA CLARK FNP-C
630 OGEECHEE DR W
STATESBORO, GA 30461-6753
Phone number: 478-456-0238
Mailing Address
Mrs. SHANTERA CLARK FNP-C
PO BOX 1964
STATESBORO, GA 30459-1964
Phone number: 478-456-0238
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