Individual
GARRETT WEST CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2614 MURRAY HILL RD, SARDIS, GA 30456-2332
(478) 272-1190
Mailing address
2614 MURRAY HILL RD, SARDIS, GA 30456-2332
(478) 272-1190
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-318726
GA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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