Organization
JAMES E CLARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EARL CLARK O.D. (OWNER)
(770) 227-2346
Entity
Organization
Contact information
Practice address
105 S HILL ST, GRIFFIN, GA 30223-3401
(770) 227-2346
(770) 227-2453
Mailing address
PO BOX 188, GRIFFIN, GA 30224-0005
(770) 227-2346
(770) 227-2453
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
850
GA
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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