Sharon Denise Clark
Driver in St Stephens, AL. Individual provider (NPI-1).
NPI number1841908480
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1841908480
- Entity type
- Individual (NPI-1)
- Name
- Sharon Denise Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2022
- Certification date
- Nov 12, 2022
- Last updated
- Nov 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 5434119 | AL | Yes |
Practice location
406 Clara Williams RdSt Stephens, AL 36569-6605
Phone 205-902-5059 · Fax 205-900-7300
Mailing address
Po Box 42St Stephens, AL 36569-0042
Phone 205-902-5059 · Fax 205-900-7300
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