DR. Torey B Clark, M.D.
NPI #1396737680 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1396737680
- Entity Type
- Individual
- Name
- DR. Torey B Clark, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Aug 22, 2005
- Last Updated
- Aug 24, 2010
Practice Location
- Address
- 500 W LANIER AVE
- Address 2
- SUITE 406
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30214-7636
- Phone
- (678) 817-5355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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