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KORAH ELIZABETH CLARK
NPI 1952878910
Student in an Organized Health Care Education/Training Program in Hawkinsville, GA

Active since October 29, 2018
72 CRAFTWAY DR, HAWKINSVILLE, GA 31036(478) 230-2453 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Korah Elizabeth Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORAH ELIZABETH CLARK (NPI 1952878910) is an individual student in an organized health care education/training program in Hawkinsville, Georgia and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1952878910
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKORAH ELIZABETH CLARK
Location Address72 CRAFTWAY DRHawkinsville, GA 31036-5813
Mailing Address72 Craftway DrHawkinsville, GA 31036-5813
Phone(478) 230-2453
Sole ProprietorNo
Enumeration DateOctober 29, 2018
✔ NPI 1952878910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
72 CRAFTWAY DR, Hawkinsville, GA 31036
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Other Identifiers 1

OtherGU4NULAmerican Red Cross

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Korah Clark's NPI number?

The NPI number for Korah Clark is 1952878910. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Korah Clark located?

Korah Clark practices at 72 Craftway Dr, Hawkinsville, GA 31036. The listed phone number is (478) 230-2453.

What is Korah Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Korah Clark was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.