Korah Elizabeth Clark

NPI #1952878910 in Hawkinsville, Georgia

Provider Information

NPI Number: 1952878910
Entity Type: Individual
Name: Korah Elizabeth Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 29, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 72 CRAFTWAY DR
City: Hawkinsville
State: Georgia
ZIP Code: 31036-5813
Phone: (478) 230-2453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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