Individual
DR. CASEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
82 SAM OVERSTREET RD, TWIN CITY, GA 30471-4191
(478) 299-1181
Mailing address
82 SAM OVERSTREET RD, TWIN CITY, GA 30471-4191
(478) 299-1181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030289
GA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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