Clark, Johanna J

Clark, Johanna J is an individual health care provider with primary practice located at 8409 Dunwoody Pl , Atlanta GA 30350-3367. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Clark, Johanna J can be contacted via phone (770) 594-1351.

Contact Information

Primary practice address
8409 Dunwoody Pl Atlanta GA 30350-3367
Phone: (770) 594-1351
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1487854162
LBN Legal business name Clark, Johanna J
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 20th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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