Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly Virginia Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578403390

Carly Virginia Clark is a Student in an Organized Health Care Education/Training Program in Savannah, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026
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Practice location Address checks out

5353 Reynolds St
Savannah, GA 31405-6015
Phone: (470) 389-6576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 390200000X (GA)

Record details

NPI number1578403390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

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