Clark, William Douglas

Clark, William Douglas is an sole proprietor health care provider with primary practice located at 1617 Highway 20 W , Mcdonough GA 30253-7311. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Clark, William Douglas can be contacted via phone (770) 961-1947.

Contact Information

Primary practice address
1617 Highway 20 W Mcdonough GA 30253-7311
Phone: (770) 961-1947
Fax: (770) 961-1947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X

Profile Details

NPI number 1730423278
LBN Legal business name Clark, William Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2012
Last updated Nov 21st, 2012 - about 13 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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