Mrs Deborah Ann Clark, is a
Physical Therapist based in Moody A F B, Georgia. Mrs Deborah Ann Clark is licensed to practice in Tennessee (license number 0000005672) and her current practice location is
347th Medical Group, 3278 Mitchell Blvd, Moody A F B, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 257-5877.
NPI number for Mrs Deborah Ann Clark is 1245214733 and her current mailing address is Rr 1 Box 98-38, Lakeland, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245214733.
Healthcare Provider's Profile
Full Name | Mrs Deborah Ann Clark |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 347th Medical Group, Moody A F B, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245214733
- Provider Enumeration Date: 11/30/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Deborah Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245214733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 0000005672 (Tennessee) | 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. Mrs Deborah Ann 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 |
Mrs Deborah Ann Clark, Rr 1 Box 98-38, Lakeland, GA 31635-8706 Ph: (229) 503-9501 | Mrs Deborah Ann Clark, 347th Medical Group, 3278 Mitchell Blvd, Moody A F B, GA 31699-0001 Ph: (229) 257-5877 |
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