Search › Georgia › 103TC0700X
Lisa Clark, PH.D
NPI 1952378226 · on the registry since 2006
Practice
- Address
- 225 Medical Way
Riverdale, GA 30274 - Phone
- (678) 519-1038
- Fax
- (770) 756-9195
- Organisation at this address
- Diagnostic Health Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-02-10
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