Dr Casey Clark, is a
Pharmacist based in Twin City, Georgia. Dr Casey Clark is licensed to practice in Georgia (license number RPH030289) and his current practice location is
82 Sam Overstreet Rd, Twin City, Georgia. He can be reached at his office (for appointments etc.) via phone at
(478) 299-1181.
NPI number for Dr Casey Clark is 1689301087 and his current mailing address is 82 Sam Overstreet Rd, Twin City, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689301087.
Healthcare Provider's Profile
| Full Name | Dr Casey Clark |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 82 Sam Overstreet Rd, Twin City, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689301087
- Provider Enumeration Date: 08/04/2022
- Last Update Date: 08/04/2022
Medical Identifiers
Medical identifiers for Dr Casey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689301087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPH030289 (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. Dr Casey 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 |
|---|
Dr Casey Clark,
82 Sam Overstreet Rd,
Twin City, GA 30471-4191
Ph: (478) 299-1181 | Dr Casey Clark,
82 Sam Overstreet Rd,
Twin City, GA 30471-4191
Ph: (478) 299-1181 |
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