Everald Clarke, PT | |
133 Ginkgo Ln, Grovetown, GA 30813-5395 | |
(706) 631-2082 | |
Not Available |
Full Name | Everald Clarke |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 133 Ginkgo Ln, Grovetown, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679774806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT007169 (Georgia) | Primary |
225100000X | Physical Therapist | PT23048 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Everald Clarke, PT 133 Ginkgo Ln, Grovetown, GA 30813-5395 Ph: (706) 631-2082 | Everald Clarke, PT 133 Ginkgo Ln, Grovetown, GA 30813-5395 Ph: (706) 631-2082 |
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Analise Lauren Richtsmeier, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420 Fax: 706-945-0288 | |
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