NPI 1124763651

Monique N Clark

Practitioner Home Health Aide Augusta, GA

Practice location

Address: 1924 Ellis St, Augusta, GA 30904-3904
Phone: (762) 215-3930

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Georgia →

Registry record

NPI: 1124763651
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2022
Record last updated: 29 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.