Clack, Pamela R.

Clack, Pamela R. is an individual health care provider with primary practice located at 703 Kings Rdg , Monroe GA 30655-2051. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Clack, Pamela R. can be contacted via phone (770) 207-5788.

Contact Information

Primary practice address
703 Kings Rdg Monroe GA 30655-2051
Phone: (770) 207-5788
Fax: (770) 207-5708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 001415 Georgia

Profile Details

NPI number 1053476929
LBN Legal business name Clack, Pamela R.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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