Clark, Teresa
Clark, Teresa is an individual health care provider with primary practice located at 2304 W Gordon Ave Apt 218 , Albany GA 31707-4607. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Clark, Teresa can be contacted via phone (229) 395-8561.Contact Information
Primary practice address
2304 W Gordon Ave Apt 218
Albany GA 31707-4607
Phone: (229) 395-8561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1144779778 |
|---|---|
| LBN Legal business name | Clark, Teresa |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2016 |
| Last updated | Sep 23rd, 2016 - about 9 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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