Clark, Colleen
Clark, Colleen is an sole proprietor health care provider with primary practice located at 3700 Crestwood Pkwy Nw Ste 500 , Duluth GA 30096-5585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Clark, Colleen can be contacted via phone (678) 924-5700.Contact Information
Primary practice address
3700 Crestwood Pkwy Nw Ste 500
Duluth GA 30096-5585
Phone: (678) 924-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 04674 | Maryland |
Profile Details
| NPI number | 1255437208 |
|---|---|
| LBN Legal business name | Clark, Colleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Dec 9th, 2021 - about 3 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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