Mr Michael Ahart Clark, LMT is a
Massage Therapist based in Morrow, Georgia. Mr Michael Ahart Clark is licensed to practice in Georgia (license number MT000829) and his current practice location is
2010 Mount Zion Rd, C, Morrow, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 610-7581.
NPI number for Mr Michael Ahart Clark is 1457663023 and his current mailing address is 118 Audubon Pkwy, Stockbridge, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457663023.
Healthcare Provider's Profile
| Full Name | Mr Michael Ahart Clark |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 2010 Mount Zion Rd, Morrow, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457663023
- Provider Enumeration Date: 07/11/2010
- Last Update Date: 07/11/2010
Medical Identifiers
Medical identifiers for Mr Michael Ahart Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457663023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT000829 (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. Mr Michael Ahart 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 |
|---|
Mr Michael Ahart Clark, LMT
118 Audubon Pkwy,
Stockbridge, GA 30281-1743
Ph: (678) 984-2943 | Mr Michael Ahart Clark, LMT
2010 Mount Zion Rd, C,
Morrow, GA 30260-3314
Ph: (678) 610-7581 |
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