person
Mr. Steven James Clark, LD0001859
Optician in Gray, Georgia
NPI 1619197779

Steven James Clark is a Optician based in Gray, GA and is specialized in Optician. Steven James Clark practices in Gray, GA and has the professional credentials of LD0001859. The NPI Number for Steven James Clark is 1619197779 and holds a License No. LD0001859 (Georgia).

The current practice location address for Steven James Clark is 4292 Gray Hwy, Gray, GA and can be reached out via phone at 478-986-2384 and via fax at 478-986-2301.

Location: 4292 Gray Hwy, Gray, GA, 31032
person
Provider Profile Details
NPI Number
1619197779
Provider Name
Steven James Clark
Credential
LD0001859
Provider Entity Type
Individual
Gender
Male
Address
4292 Gray Hwy, Gray, GA, 31032
Phone Number
478-986-2384
Fax Number
478-986-2301
Provider Enumeration Date
04/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4292 Gray Hwy
City
State
Zip
31032
Phone Number
478-986-2384
Fax Number
478-986-2301
person
Provider Business Mailing Address Details
Address
4292 Gray Hwy
City
State
Zip
31032
Phone Number
478-986-2384
Fax Number
478-986-2301
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LD0001859 (Georgia)
Definition
Definition to come...
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