ILEHA CLARK
PACE Provider Organization · MACON, GA
Individual Active NPI 1619531936
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | ✓ | — | — |
| Chore Provider | 372500000X | — | — |
Other PACE Provider Organization providers in Georgia
- NPI 1427353507
- NPI 1164353405
- NPI 1164396610
- NPI 1992047096
- NPI 1639468424
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.