MRS. Myra Clark
NPI #1174980007 in Birmingham, Alabama
Provider Information
- NPI Number
- 1174980007
- Entity Type
- Individual
- Name
- MRS. Myra Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jan 22, 2016
- Last Updated
- Jan 22, 2016
Practice Location
- Address
- 1377 MOHICAN DR
- City
- Birmingham
- State
- Alabama
- ZIP Code
- 35214-3811
- Phone
- (205) 705-6104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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