MR. WILLIAM DOUGLAS CLARK (NPI# 1730423278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730423278 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM DOUGLAS CLARK |
| Practice Address |
1617 Highway 20 W Mcdonough GA 30253-7311 |
| Mailing Address |
Po Box 254 Morrow GA 30260-0254 |
| Practice Telephone | 7709611947 |
| Practice Fax Number | 7709611947 |
| Mailing Telephone | 7709611947 |
| Mailing Fax Number | 7709611947 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447819677 | William Eugene Clark | Nurse's Aide | 2869 Howey Rd, Columbus, OH 43224-4028 | 2019-06-11 |
| 1528454154 | William Clark | Specialist/Technologist | 8501 Silverbrook Rd, Lorton, VA 22079-3015 | 2015-04-10 |
| 1639575830 | William Clark | Specialist/Technologist | 7 Reef Rd, Anderson, GU 83901 | 2014-11-15 |
| 1487950606 | William D Clark | Massage Therapist | 1160 Lucerne Loop Rd Ne, Winter Haven, FL 33881-9681 | 2011-02-04 |
| 1124320692 | William Warren Clark | Recreation Therapist | 2118 Stagecoach Trl, Temple, TX 76502-3224 | 2010-12-03 |
| 1407093875 | William Todd Clark | Specialist/Technologist, Other | 305 Greenbriar Ct, Otisco, IN 47163-9601 | 2009-01-07 |
| 1922244524 | William J Clark | Technician/Technologist | 3984 Drexel Rd, Pittsburgh, PA 15212-1512 | 2009-01-02 |
| 1023274503 | William Dave Clark | Counselor | 1421 Ossahatchie Creek Rd, Ellerslie, GA 31807-5339 | 2008-08-04 |
| 1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
| 1245415116 | William J Clark | Pharmacist | 5335 W Genesee St, Suite 20, Camillus, NY 13031-2265 | 2008-01-09 |
| Street Address |
1617 HIGHWAY 20 W |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553284 | Pace Physical Therapy LLC | Physical Therapist | 1617 Highway 20 W, Mcdonough, GA 30253-7311 | 2018-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994166 | Saadia Holloway | Mechanotherapist | 1708 Peachtree St Nw Ste 109, Atlanta, GA 30309-2434 | 2020-08-25 |
| 1609228923 | Hayden S Birch | Mechanotherapist | 244 14th St Ne Ste B, Atlanta, GA 30309-3696 | 2016-07-11 |
| 1144638115 | Massage By Denise Leslie | Mechanotherapist | 8737 Dunwoody Pl Ste 4, 8737 Dunwoody Place #4, Atlanta, GA 30350-2985 | 2014-07-23 |
| 1326274648 | William Andrews Kemp Jr. | Mechanotherapist | 505 Sleepy Hollow Rd, La Fayette, GA 30728-2624 | 2009-06-01 |
| 1811123243 | Chiropractic At The Lighthouse, LLC | Mechanotherapist | 62 Shawnee Ln, Marietta, GA 30067-7316 | 2009-05-29 |
| 1417181496 | Ann Maury Lawrence-stephan | Mechanotherapist | 1423 Riverview Run Ln, Suwanee, GA 30024-3890 | 2009-05-06 |
| 1528209517 | Heather Parker | Mechanotherapist | 106 Davis Rd Ste D, Martinez, GA 30907-1704 | 2009-03-20 |
| 1033350376 | Ashley White | Mechanotherapist | 7013 Evans Town Center Blvd Ste 201, Evans, GA 30809-5131 | 2009-03-17 |
| 1306012471 | Katherine Emily-frances Healy | Mechanotherapist | 129 Mirramont Lake Dr, Woodstock, GA 30189-8215 | 2008-05-07 |
| 1801074158 | Nelia Fe Zottoli | Mechanotherapist | 51 Johnny Mercer Blvd # C, Savannah, GA 31410-4923 | 2008-02-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.