MISS Chasity Clark, PA
NPI #1205385655 in Centreville, Alabama
Provider Information
- NPI Number
- 1205385655
- Entity Type
- Individual
- Name
- MISS Chasity Clark, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Sep 27, 2016
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 405 BELCHER ST
- City
- Centreville
- State
- Alabama
- ZIP Code
- 35042-2946
- Phone
- (205) 926-2992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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