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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY CLARK

Active Sole Proprietor

GREGORY CLARK is a Community Health Worker healthcare provider located in PROCTORVILLE, Ohio. NPI 1386238764 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · PROCTORVILLE, OH

Registration Details

NPI Number
1386238764
Provider Type
Individual
Gender
Male
NPI Issued
Feb 25, 2021 (5.4711118407063 yrs)
Last Updated
Feb 25, 2021
Sole Proprietor
Yes

Practice Information

Address
59 TOWNSHIP ROAD 1419 # 2
PROCTORVILLE, OH, 456698816
Browse OH providers · Browse ZIP 45669
Phone
6818881003
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in PROCTORVILLE, OH

Name Credential NPI
PENELOPE S BYRD 1790378578
KAI BUTLER 1184496853
VIVIAN RIDDLE 1932977758
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.