Marty, Clarice Dewitt

Marty, Clarice Dewitt is an sole proprietor health care provider with primary practice located at 300 W Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon GA 30905-5650. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Marty, Clarice Dewitt can be contacted via phone (706) 787-2720.

Contact Information

Primary practice address
300 W Hospital Road Eisenhower Army Medical Center Attn Credentials Fort Gordon GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X GA 799 Georgia

Profile Details

NPI number 1508031550
LBN Legal business name Marty, Clarice Dewitt
Credentials LPTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 17 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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