Individual provider · Type 1 NPI

Torey B. Clark, MD

Specialist · Fayetteville, GA

NPI number 1396737680 Active

Practice location

500 W Lanier Ave, Suite 406
Fayetteville, GA 30214-7636

Call (678) 817-5355 Map

Fax (678) 817-5339

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036943 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396737680

Torey B. Clark, MD's National Provider Identifier is 1396737680, issued on Aug 22, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fayetteville, GA. The record was last updated on Aug 24, 2010.