TERRI MARIE CLACK


Address: 2550 Akers Mill Rd Se Apt C26, Atlanta, GA 30339-3211
Phone: 7168120736

TERRI MARIE CLACK (NPI# 1487169173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487169173
Entity Type Individual
Full Name TERRI MARIE CLACK
Credential NP-C
Practice Address 2550 Akers Mill Rd Se Apt C26
Atlanta
GA 30339-3211
Practice Telephone 7168120736
Practice Fax Number 7168120736
Mailing Telephone 7168120736
Enumeration Date 2017-12-05
Last Update Date 2017-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN214255 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2550 AKERS MILL RD SE APT C26
City ATLANTA
State GA
Zip Code 30339-3211

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1760991632 Horizons Unlimited Professional Services Inc. Community/Behavioral Health 1755 The Exchange Se Ste 190, Atlanta, GA 30339 2017-09-23
1932624418 Kheder Basheer Student in an Organized Health Care Education/Training Program 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 2017-08-07
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1992248298 New Legacy Counseling and Training Center Point of Service 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 2016-11-18
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346861127 Finan Tedla Nurse Practitioner 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 2020-05-03
1780238048 Rasa Abital Teytel Nurse Practitioner 6105 Peachtree Dunwoody Rd Ste 125, Atlanta, GA 30328-5909 2019-07-25
1336646223 Amy Ruth Williams Nurse Practitioner 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 2018-04-09
1780184366 Anne E Taylor Nurse Practitioner 550 Peachtree St Ne Ste 1700, Atlanta, GA 30308-2262 2018-02-20
1346759974 Neva R Allison Nurse Practitioner 2611 Dayview Ln, Atlanta, GA 30331 2017-09-26
1093068397 Lauren Eichel Nourparvar Nurse Practitioner 2580 Oglethorpe Cir Ne, Atlanta, GA 30319-6602 2012-10-24
1346800257 Regine G Vincent Nurse Practitioner 3750 Peachtree Rd Ne, Atlanta, GA 30319-1385 2019-06-13
1629582135 Mary Rabon Murfee Nurse Practitioner 3280 Howell Mill Rd Nw Ste 150, Atlanta, GA 30327 2017-11-20
1124555180 Obianauju Okoroafor Nurse Practitioner 477 Windsor St Sw, Atlanta, GA 30312-2530 2017-05-20
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Competitor

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City ATLANTA
Zip Code 30339

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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