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1881446839
CHASE THOMAS CLARK
MARIETTA, GA
NPI
1881446839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
Dr. CHASE THOMAS CLARK DO
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-5000
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Mailing Address
Dr. CHASE THOMAS CLARK DO
3460 WATERS GLEN WAY
ALPHARETTA, GA 30022-5819
Phone number: 770-365-4289
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