Gregory Clark
NPI #1386238764 in Proctorville, Ohio
Provider Information
- NPI Number
- 1386238764
- Entity Type
- Individual
- Name
- Gregory Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 25, 2021
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 59 TOWNSHIP ROAD 1419 # 2
- City
- Proctorville
- State
- Ohio
- ZIP Code
- 45669-8816
- Phone
- (681) 888-1003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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