Clark, Robert Bicknell
Clark, Robert Bicknell is an sole proprietor health care provider with primary practice located at 4200 Northside Pkwy Nw Bldg 7 , Atlanta GA 30327-3007. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Robert Bicknell can be contacted via phone (404) 793-6349.Contact Information
Primary practice address
4200 Northside Pkwy Nw Bldg 7
Atlanta GA 30327-3007
Phone: (404) 793-6349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0689 | Georgia |
Profile Details
| NPI number | 1891368056 |
|---|---|
| LBN Legal business name | Clark, Robert Bicknell |
| Credentials | CADC-1 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2021 |
| Last updated | Jul 23rd, 2021 - about 4 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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