MATTIE MAE FARMER CLARK

FAYETTEVILLE, GA
NPI1891263299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
Mrs. MATTIE MAE FARMER CLARK cst/csfa
PIEDMONT FAYETTE HOSPITAL 1255 HIGHWAY 54 WEST
FAYETTEVILLE, GA 30214
Phone number: 770-719-7000
Mailing Address
Mrs. MATTIE MAE FARMER CLARK cst/csfa
91 COVINGTON TER
NEWNAN, GA 30263-5771
Phone number: 386-295-3122
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