Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE CLARKE, CPT , CNA
Active Sole Proprietor2472E0500X · LITHONIA, GA
Registration Details
- NPI Number
- 1184132177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2018 (8.2739774591849 yrs)
- Last Updated
- Jan 22, 2019
- Licenses
-
CN0000001529 (GA)C9P4H9A3 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4532 BROWNS MILL FERRY RDLITHONIA, GA, 300384528Browse GA providers · Browse ZIP 30038
- Phone
- 4044373540
- Fax
- 4044373540
- Primary Specialty
-
2472E0500X
2472E0500X
- Additional Specialty
- 2472E0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.