person
Tina L Clark, LDO2206
Optician in Monroe, Georgia
NPI 1902664022

Tina L Clark is a Optician based in Monroe, GA and is specialized in Optician. Tina L Clark practices in Monroe, GA and has the professional credentials of LDO2206. The NPI Number for Tina L Clark is 1902664022 and holds a License No. LDO2206 (Georgia).

The current practice location address for Tina L Clark is 557 Highway 11, Monroe, GA and can be reached out via phone at 678-758-4783.

Location: 557 Highway 11, Monroe, GA, 30655-6078
person
Provider Profile Details
NPI Number
1902664022
Provider Name
Tina L Clark
Credential
LDO2206
Provider Entity Type
Individual
Gender
Female
Address
557 Highway 11, Monroe, GA, 30655-6078
Phone Number
678-758-4783
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
557 Highway 11
City
State
Zip
30655-6078
Phone Number
678-758-4783
Fax Number
person
Provider Business Mailing Address Details
Address
557 Highway 11
City
State
Zip
30655-6078
Phone Number
678-758-4783
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO2206 (Georgia)
Definition
Definition to come...
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