Tiffany A Clerk
Physical Therapist
2801 N Decatur Rd Suite 230
Decatur
, Georgia 30033-5949
Tiffany A Clerk
Physical Therapist
2801 N Decatur Rd Suite 230
Decatur
, Georgia 30033-5949
(770) 982-0130
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Tiffany A Clerk
- 2400 Wisteria Dr Suite A
- Snellville, GA
- Zip : 30078-2689
- Fax : (770) 982-0130
- Phone : (770) 982-0102
Second Address
- Tiffany A Clerk
- 2801 N Decatur Rd Suite 230
- Decatur, GA
- Zip : 30033-5949
- Fax : (404) 294-7595
- Phone : (404) 294-7211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT009489 | GA |
National Provider Identifier
| NPI | 1003060351 |
|---|---|
| Provider Name | Tiffany A Clerk |
| First Address | Snellville, GA 30078-2689 |
| Second Address | Decatur, GA 30033-5949 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2008 |
| Last Update Date | 06/05/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.