Clark, Scott Alan

Clark, Scott Alan is an individual health care provider with primary practice located at 2324 Limestone Overlook , Gainesville GA 30501-7443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Clark, Scott Alan can be contacted via phone (770) 536-8109.

Contact Information

Primary practice address
2324 Limestone Overlook Gainesville GA 30501-7443
Phone: (770) 536-8109
Fax: (770) 536-3203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 052157 Georgia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 052157 Georgia

Profile Details

NPI number 1538119979
LBN Legal business name Clark, Scott Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 7th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538119979 NPPES
Georgia MEDICAID 928338112A

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