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Clark Holloman
NPI 1346097037 · on the registry since 2024
Practice
- Address
- 182 S Main St
Cleveland, GA 30528 - Phone
- (706) 865-0224
- Organisation at this address
- Me Pivot Holdings Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia