Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARETTA L CLARK
Active Sole ProprietorCHARETTA L CLARK is a Bus healthcare provider located in SHREVEPORT, Louisiana. NPI 1811645559 is currently active in the NPPES registry. Verify at CMS.
Bus · SHREVEPORT, LA
Registration Details
- NPI Number
- 1811645559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2022 (4.416494639469 yrs)
- Last Updated
- Mar 11, 2022
- License
-
007325154 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7125 SUNTAN STSHREVEPORT, LA, 711084927Browse LA providers · Browse ZIP 71108
- Phone
- 3184656614
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MR. GARY WAYNE SEETS | — | 1740492776 |
| MR. GREGORY JAY HILL JR. | — | 1750640298 |
| MISS CAROLINA WAKINA HARRISON | — | 1144571787 |
| CYNTHIA LEWIS GATES | — | 1508102104 |
| MATTIE MANUEL | — | 1033456223 |
| RODERICK WAYNE STEPHENSON JR. | — | 1023450533 |
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.