MICHELLE CLARKE CPT CNA NPI 1184132177

NPI Information

NPI: 1184132177
Provider Name: MICHELLE CLARKE, CPT , CNA
Classification: Technician, Other - 2472E0500X
Entity Type: Individual

Specialization: EEG

Address:
4532 BROWNS MILL FERRY RD
LITHONIA, GA
ZIP 30038
Phone: (404) 437-3540
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Michelle Clarke, CPT , CNA is an eeg technician other in Lithonia, GA. Michelle Clarke, CPT , CNA NPI is 1184132177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4532 BROWNS MILL FERRY RD
LITHONIA, GA
ZIP 30038-528
Phone: (404) 437-3540
Fax: (404) 437-3540

The enumeration date for this NPI number is 1/12/2018 and was last updated on 1/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2472E0500X	Technician, Other	EEG	C9P4H9A3	GEORGIA	Yes
2	376K00000X	Nurse's Aide		CN0000001529	GEORGIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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