Tina L Clark, LDO2206
Tina L Clark, LDO2206 is an Optician in Monroe, Georgia. Licensed in Georgia. Registered with an NPI since 2024.
- Licensed in
- GA
- In the registry since
- 2024
Practice location Address checks out
557 Highway 11Monroe, GA 30655-6078
Phone: (678) 758-4783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence LDO2206 (GA) |
|---|
Record details
| NPI number | 1902664022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LDO2206 |
| Sole proprietor | No |
| NPI enumerated | March 12, 2024 |
| Last updated in NPPES | March 19, 2024 |
| Certification date | March 12, 2024 |
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