Steven Clark, LD0001859

NPI 1619197779 · on the registry since 2007

Practice

Address: 4292 Gray Hwy
Suite A
Gray, GA 31032
Phone: (478) 986-2384
Fax: (478) 986-2301
Organisation at this address: Todd F Kelleher Dc Pc
Community Health Care Systems, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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