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Clark Payne

Chiropractor in Lithia Springs, GA. Individual provider (NPI-1).

NPI number1194591503
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1194591503
Entity type
Individual (NPI-1)
Name
Clark Payne
Sex
Male
Sole proprietor
No
Enumeration date
Nov 27, 2023
Certification date
Nov 27, 2023
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCHIR011053GAYes

Practice location

1102 Thornton Rd Ste C
Lithia Springs, GA 30122-2688

Phone 404-629-9999

Mailing address

1102 Thornton Rd Ste C
Lithia Springs, GA 30122-2688

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