Laura Clark

NPI #1821220575 in Bethlehem, Georgia

Provider Information

NPI Number: 1821220575
Entity Type: Individual
Name: Laura Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 13, 2009
Last Updated: Aug 13, 2009

Practice Location

Address: 283 WINSLOW WAY
City: Bethlehem
State: Georgia
ZIP Code: 30620-3248
Phone: (678) 361-1117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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