Miss Sherry Clark, PTA in Conyers, GA - Physical Therapy Assistant

Miss Sherry Clark, PTA is a Physical Therapy Assistant physician based in Conyers, Georgia. Miss Sherry Clark is licensed to practice in Georgia (license number PTA004524) and her current practice location is 2395 Wall St Se Ste 176, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 679-1553.

NPI number for Miss Sherry Clark is 1275131344 and her current mailing address is 2395 Wall St Se Ste 176, Conyers, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275131344.

Contact Information

	Miss Sherry Clark, PTA
	2395 Wall St Se Ste 176, Conyers, GA 30013-6703
	(770) 679-1553
	(866) 666-4344

Physician's Profile

Full Name	Miss Sherry Clark
Gender	Female
Speciality	Physical Therapy Assistant
Location	2395 Wall St Se Ste 176, Conyers, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1275131344
Provider Enumeration Date: 10/12/2020
Last Update Date: 10/12/2020

Medical Identifiers

Medical identifiers for Miss Sherry Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275131344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	PTA004524 (Georgia)	Secondary
225200000X	Physical Therapy Assistant	PTA004524 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Sherry Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Sherry Clark, PTA 2395 Wall St Se Ste 176, Conyers, GA 30013-6703 Ph: (770) 679-1553	Miss Sherry Clark, PTA 2395 Wall St Se Ste 176, Conyers, GA 30013-6703 Ph: (770) 679-1553

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Miss Sherry Clark, PTA - Physical Therapy Assistant in Conyers, GA