Clark, Michael Allen
Clark, Michael Allen is an individual health care provider with primary practice located at 3527 N Valdosta Rd , Valdosta GA 31602-6418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Clark, Michael Allen can be contacted via phone (229) 247-2290.Contact Information
Primary practice address
3527 N Valdosta Rd
Valdosta GA 31602-6418
Phone: (229) 247-2290
Fax: (229) 247-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 070239 | Georgia |
Profile Details
| NPI number | 1841452505 |
|---|---|
| LBN Legal business name | Clark, Michael Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Jul 19th, 2013 - about 12 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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