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Contact Information

PEGGY A CLARK
809 WESTSIDE DR
BELZONI, MS39038-3055
 Phone: 662-836-9857
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for PEGGY A CLARK · (Female)

NPI Number 1609446863
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2021
Last updated 06/30/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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