Individual
MARY LUCINDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2300 E PINETREE BLVD, THOMASVILLE, GA 31792-4825
(229) 228-8050
Mailing address
2300 E PINETREE BLVD, THOMASVILLE, GA 31792-4825
(229) 228-8050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004792
GA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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