NPI 1174980007

Myra Clark

Practitioner Non-emergency Medical Transport (VAN) Birmingham, AL

Practice location

Address: 1377 Mohican Dr, Birmingham, AL 35214-3811
Phone: (205) 705-6104
Fax: (205) 637-7848

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X Licence 16003458 (AL)

Other Non-emergency Medical Transport (VAN) providers in Alabama →

Registry record

NPI: 1174980007
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2016
Record last updated: 22 Jan 2016

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.