Tina L Clark, LDO2206

NPI #1902664022 in Monroe, Georgia

Provider Information

NPI Number
1902664022
Entity Type
Individual
Name
Tina L Clark, LDO2206
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Credential
LDO2206
Enumeration Date
Mar 12, 2024
Last Updated
Mar 19, 2024

Practice Location

Address
557 HIGHWAY 11
City
Monroe
State
Georgia
ZIP Code
30655-6078
Phone
(678) 758-4783

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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