Miss Sherry Clark, PTA is a
Physical Therapy Assistant physician based in Conyers, Georgia. Miss Sherry Clark is licensed to practice in Georgia (license number PTA004524) and her current practice location is 2395 Wall St Se Ste 176, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 679-1553.
NPI number for Miss Sherry Clark is 1275131344 and her current mailing address is 2395 Wall St Se Ste 176, Conyers, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275131344.
Physician's Profile
| Full Name | Miss Sherry Clark |
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| Gender | Female |
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| Speciality | Physical Therapy Assistant |
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| Location | 2395 Wall St Se Ste 176, Conyers, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275131344
- Provider Enumeration Date: 10/12/2020
- Last Update Date: 10/12/2020
Medical Identifiers
Medical identifiers for Miss Sherry Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275131344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA004524 (Georgia) | Secondary |
| 225200000X | Physical Therapy Assistant | PTA004524 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Sherry Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Sherry Clark, PTA
2395 Wall St Se Ste 176,
Conyers, GA 30013-6703
Ph: (770) 679-1553 | Miss Sherry Clark, PTA
2395 Wall St Se Ste 176,
Conyers, GA 30013-6703
Ph: (770) 679-1553 |
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