Deborah Ann Clark
Individual provider Active NPI Physical Therapist · Moody a F B, GA
NPI 1245214733 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1245214733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0000005672 (TN)
- Practice address
- 347TH Medical Group
3278 Mitchell Blvd
Moody a F B, GA 31699-0001 - Phone
- (229) 257-5877
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000005672 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0000005672 | TN | Yes |
Addresses
Primary practice location
347TH Medical Group
3278 Mitchell Blvd
Moody a F B, GA 31699-0001
Mailing address
RR 1 Box 98-38
Lakeland, GA 31635-8706
Phone (229) 503-9501
Other providers in Moody a F B, GA
- Thomas James Allen
- Sasha Leigh Barker
- Melissa Dionne Bridges
- Paul Adams Bryant
- Roong Robert Burket
- Eduardo F Clemente
- George P. Costanzo
- Christopher Wayne Daniels
- Raymond Eric Garcia
- Barbara Louise Gwinn
All providers in Moody a F B, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.