Individual
DR. WILLIAM LITTLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 RETREAT RD, AUGUSTA, GA 30909-1837
(706) 733-4764
Mailing address
5 RETREAT RD, AUGUSTA, GA 30909-1837
(706) 733-4764
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10892
GA
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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