Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS ILEHA M CLARK
Active Sole ProprietorMISS ILEHA M CLARK is a Program of All-Inclusive Care for the Elderly (PACE) healthcare provider located in MACON, Georgia. NPI 1619531936 is currently active in the NPPES registry. Verify at CMS.
Program of All-Inclusive Care for the Elderly (PACE) · MACON, GA
Registration Details
- NPI Number
- 1619531936
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2019 (7.12172680743 yrs)
- Last Updated
- May 3, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
152 NEW ST STE 103MMACON, GA, 312017304Browse GA providers · Browse ZIP 31201
- Phone
- 4785087124
- Primary Specialty
-
Program of All-Inclusive Care for the Elderly (PACE)
251T00000X
- Additional Specialty
- Program of All-Inclusive Care for the Elderly (PACE)
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.