Individual provider · NPI-1
Kasheita Clarke
Radiologic Technologist, Cardiovascular-Interventional Technology · Augusta, GA
NPI number1609701556
StatusActive
Last updated in NPPESJun 15, 2026
Details
- NPI
- 1609701556
- Entity type
- Individual (NPI-1)
- Name
- Kasheita Clarke
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2026
- Certification date
- Jun 13, 2026
- Last updated
- Jun 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C1101X | Radiologic Technologist, Cardiovascular-Interventional Technology | – | – | Yes |
Practice location
255 Reservation WayAugusta, GA 30909-4805
Phone 347-883-1592
Mailing address
255 Reservation WayAugusta, GA 30909-4805
Phone 347-883-1592
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