| Dialisa Clark, | |
|
205 Oleander Rd, Albany, GA 31705-4613 | |
| (229) 364-7396 | |
| Not Available |
| Full Name | Dialisa Clark |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 205 Oleander Rd, Albany, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134044613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2026041430 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dialisa Clark, 205 Oleander Rd, Albany, GA 31705-4613 Ph: (229) 364-7396 | Dialisa Clark, 205 Oleander Rd, Albany, GA 31705-4613 Ph: (229) 364-7396 |
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