NPI 1730423278
William Douglas Clark
Practice location
- Address
- 1617 Highway 20 W, McDonough, GA 30253-7311
- Phone
- (770) 961-1947
- Fax
- (770) 961-1947
- Mailing address
- PO Box 254, Morrow, GA 30260-0254
Registered specialties
Mechanotherapist
Primary
Registry record
- NPI
- 1730423278
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Nov 2012
- Record last updated
- 21 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.