Clark, Edgar Vincent

Clark, Edgar Vincent is an individual health care provider with primary practice located at 101 Harris Industrial Blvd , Vidalia GA 30474-8845. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Clark, Edgar Vincent can be contacted via phone (912) 537-2044.

Contact Information

Primary practice address
101 Harris Industrial Blvd Vidalia GA 30474-8845
Phone: (912) 537-2044
Fax: (912) 277-2098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004577 Georgia

Profile Details

NPI number 1962611202
LBN Legal business name Clark, Edgar Vincent
Credentials CCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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