MR. STEVEN CLARK, LD0001859

Technician/Technologist - Optician

Active Individual
NPI: 1619197779

Practice Address

4292 GRAY HWY
SUITE A
Gray, GA 31032

Phone: (478) 986-2384

Specialties

Specialty Code Primary License
Technician/Technologist - Optician 156FX1800X Yes LD0001859 (GA)

Frequently Asked Questions

NPI 1619197779 is the National Provider Identifier for MR. STEVEN CLARK, LD0001859, a Technician/Technologist - Optician provider located in Gray, GA. This NPI was enumerated on April 30, 2007.
MR. STEVEN CLARK, LD0001859 practices at 4292 GRAY HWY, SUITE A, Gray, GA 31032.

Quick Facts

NPI
1619197779
Type
Individual
Enumerated
Apr 30, 2007
Last Updated
Jul 8, 2007

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