EDGAR VINCENT CLARK

VIDALIA, GA
NPI1962611202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP004577)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mr. EDGAR VINCENT CLARK CCC-S
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474-8845
Phone number: 912-537-2044
Mailing Address
Mr. EDGAR VINCENT CLARK CCC-S
PO BOX 383
GLENWOOD, GA 30428-0383
Phone number: 912-568-7687
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