Edna Michelle Clark, LPN
NPI #1114918158 in Hinesville, Georgia
Provider Information
- NPI Number
- 1114918158
- Entity Type
- Individual
- Name
- Edna Michelle Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 635 SLADE ST
- City
- Hinesville
- State
- Georgia
- ZIP Code
- 31313-3941
- Phone
- (912) 368-2107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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