Individual
DR. RONALD CRAIG CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., PH.D.
Contact information
Practice address
200 INDUSTRIAL BLVD, SUITE 108, ELLIJAY, GA 30540-3722
(706) 636-4325
(706) 636-4325
Mailing address
200 INDUSTRIAL BLVD, SUITE 108, ELLIJAY, GA 30540-3722
(706) 636-4325
(706) 636-4325
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIRO002251
GA
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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