Individual
MARK MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 VERNON RD, WELLSTAR WEST GEORGIA MEDICAL CENTER - REHAB SERVICES, LAGRANGE, GA 30240-4131
(706) 845-3862
(706) 845-3700
Mailing address
1514 VERNON RD, WELLSTAR WEST GEORGIA MEDICAL CENTER - REHAB SERVICES, LAGRANGE, GA 30240-4131
(706) 845-3862
(706) 845-3700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1092
GA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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