Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMERICA JACKSON-CLARK
Active Sole ProprietorSAMERICA JACKSON-CLARK is a Public Health / General Public Health healthcare provider located in STOCKBRIDGE, Georgia. NPI 1639066319 is currently active in the NPPES registry. Verify at CMS.
Public Health / General Public Health · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1639066319
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2025 (1.1881061461916 yrs)
- Last Updated
- Jun 23, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
6077 N HENRY BLVDSTOCKBRIDGE, GA, 302813041Browse GA providers · Browse ZIP 30281
- Phone
- 4044413627
- Primary Specialty
-
Public Health / General Public Health
251K00000X
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.