Dawn Clack

NPI 1942623772 · on the registry since 2014 · sole proprietor

Practice

Address: 616 19th St
Suite 100
Columbus, GA 31901
Phone: (706) 660-2600
Fax: (706) 494-4727
Organisation at this address: Affabilis Llc
Doctors Hospital, Inc.
Columbus Specialty Hospital
Muscogee Physician Services Llc
The Medical Center Hospital Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: 1835P0018X
1835P0018X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia