Clark, Laura

Clark, Laura is an individual health care provider with primary practice located at 283 Winslow Way , Bethlehem GA 30620-3248. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Laura can be contacted via phone (678) 361-1117.

Contact Information

Primary practice address
283 Winslow Way Bethlehem GA 30620-3248
Phone: (678) 361-1117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 37433 Georgia

Profile Details

NPI number 1821220575
LBN Legal business name Clark, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Aug 13th, 2009 - about 16 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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