Individual
DR. TOREY B CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W LANIER AVE, SUITE 406, FAYETTEVILLE, GA 30214-7636
(678) 817-5355
(678) 817-5339
Mailing address
500 W LANIER AVE, SUITE 406, FAYETTEVILLE, GA 30214-7636
(678) 817-5355
(678) 817-5339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036943
GA
Other
Enumeration date
08/22/2005
Last updated
08/24/2010
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