Tonya Clark
Specialist in Cullman, AL. Individual provider (NPI-1).
NPI number1982135505
StatusActive
Last updated in NPPESMar 24, 2017
Details
- NPI
- 1982135505
- Entity type
- Individual (NPI-1)
- Name
- Tonya Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2017
- Last updated
- Mar 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1909 Commerce AveCullman, AL 35055-6151
Phone 256-734-4688
Mailing address
1909 Commerce AveCullman, AL 35055-6151
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All 75 Specialist providers in Cullman · All 1,294 providers in Cullman
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