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William Clark

NPI 1598938219 · on the registry since 2008 · sole proprietor

Practice

Address
5 Retreat Rd
Augusta, GA 30909
Phone
(706) 733-4764

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-03

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