Tonya Clark

NPI #1982135505 in Cullman, Alabama

Provider Information

NPI Number: 1982135505
Entity Type: Individual
Name: Tonya Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 24, 2017
Last Updated: Mar 24, 2017

Practice Location

Address: 1909 COMMERCE AVE
City: Cullman
State: Alabama
ZIP Code: 35055-6151
Phone: (256) 734-4688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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