Clark, Torey B
Clark, Torey B is an sole proprietor health care provider with primary practice located at 500 W Lanier Ave Suite 406, Fayetteville GA 30214-7636. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Torey B can be contacted via phone (678) 817-5355.Contact Information
Primary practice address
500 W Lanier Ave Suite 406
Fayetteville GA 30214-7636
Phone: (678) 817-5355
Fax: (678) 817-5339
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036943 | Georgia |
Profile Details
NPI number | 1396737680 |
---|---|
LBN Legal business name | Clark, Torey B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2005 |
Last updated | Aug 24th, 2010 - about 14 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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