Mr. Steven James Clark, LD0001859
Mr. Steven James Clark, LD0001859 is an Optician in Gray, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
4292 Gray Hwy Ste AGray, GA 31032
Phone: (478) 986-2384
Fax: (478) 986-2301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence LD0001859 (GA) |
|---|
Record details
| NPI number | 1619197779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LD0001859 |
| Sole proprietor | No |
| NPI enumerated | April 30, 2007 |
| Last updated in NPPES | July 8, 2007 |