Dr CARLA CLARK GAY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC
101 HARRIS INDUSTRIAL BLVD
SUITE A
VIDALIA
GA
304748845
Tel: 9125388105
| Npi | 1487161030 |
| Pac Id | 7719233543 |
| Professional Enrollment Id | I20180709001430 |
| Last Name | GAY |
| First Name | CARLA |
| Middle Name | CLARK |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHEAST REGIONAL CARDIAC AND VASCULAR INSTITUTE, LLC |
| Group Practice Pac Id | 5991990111 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 101 HARRIS INDUSTRIAL BLVD |
| Line 2 Street Address | SUITE A |
| Marker Of Address Line 2 Suppression | |
| City | VIDALIA |
| State | GA |
| Zip Code | 304748845 |
| Phone Number | 9125388105 |
| Hospital Affiliation Ccn 1 | 110128 |
| Hospital Affiliation Lbn 1 | MEADOWS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 110125 |
| Hospital Affiliation Lbn 2 | FAIRVIEW PARK HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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