Marty, Clarice Dewitt
Marty, Clarice Dewitt is an sole proprietor health care provider with primary practice located at 300 W Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon GA 30905-5650. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Marty, Clarice Dewitt can be contacted via phone (706) 787-2720.Contact Information
Primary practice address
300 W Hospital Road Eisenhower Army Medical Center Attn Credentials
Fort Gordon GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | GA 799 | Georgia |
Profile Details
| NPI number | 1508031550 |
|---|---|
| LBN Legal business name | Marty, Clarice Dewitt |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Apr 29th, 2008 - about 18 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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