Search › Georgia › 156FX1800X
Tina Clark, LDO2206
NPI 1902664022 · on the registry since 2024
Practice
- Address
- 557 Highway 11
Monroe, GA 30655 - Phone
- (678) 758-4783
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-19
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