person
Dr. Chase Thomas Clark, DO
Student in an Organized Health Care Education/Training Program in Marietta, Georgia
NPI 1881446839

Chase Thomas Clark is a Student in an Organized Health Care Education/Training Program based in Alpharetta, GA. Chase Thomas Clark practices in Marietta, GA and has the professional credentials of DO. The NPI Number for Chase Thomas Clark is 1881446839 and holds a License No. (Georgia).

The current practice location address for Chase Thomas Clark is 677 Church St Ne, Marietta, GA and can be reached out via phone at 770-793-5000.

Location: 677 Church St Ne, Marietta, GA, 30022-5819
person
Provider Profile Details
NPI Number
1881446839
Provider Name
Chase Thomas Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
677 Church St Ne, Marietta, GA, 30022-5819
Phone Number
770-793-5000
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
770-793-5000
Fax Number
person
Provider Business Mailing Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
770-793-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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