| Doctor Name: | MRS. NORMA CAROL CLARK |
| NPI Number: | 1124354535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MIDWIFE |
| License Number: | |
| Business Practice Address: | 503 Lucas St Kosciusko, MS - 390903444 |
| Business Phone Number: | 6622899956 |
| Business Fax Number: | 6622899956 |
| Mailing Address: | 503 Lucas St, KOSCIUSKO |
| State: | MS |
| Postal Code: | 390903444 |
| Phone Number: | 6622899956 |
| Fax Number: | 6622899956 |
| NPI Enumeration Date: | 10/20/2009 |
| NPI Last Update Date: | 10/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 175M00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Midwife, Lay |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |