Clark, Courtney A

Clark, Courtney A is an sole proprietor health care provider with primary practice located at 2274 Highway 43 S , Picayune MS 39466-8141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Courtney A can be contacted via phone (601) 347-9024.

Contact Information

Primary practice address
2274 Highway 43 S Picayune MS 39466-8141
Phone: (601) 347-9024
Fax: (601) 798-5914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1790100113 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29407 Mississippi

Profile Details

NPI number 1790100113
LBN Legal business name Clark, Courtney A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2014
Last updated Nov 15th, 2021 - about 5 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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