Individual
DR. MANAY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5335 HIGHWAY 280, BIRMINGHAM, AL 35242-5317
(205) 980-0841
Mailing address
PO BOX 203, BIRMINGHAM, AL 35201-0203
(205) 913-8747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S715-TA340
AL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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