Individual
CHARLES SYLVESTER CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
4033 WHISPERING PINES RD S, AUGUSTA, GA 30906-9138
(706) 796-8743
Mailing address
4033 WHISPERING PINES RD S, AUGUSTA, GA 30906-9138
(706) 796-8743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4315
SC
Other
Enumeration date
06/22/2008
Last updated
06/22/2008
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