Edward K. Clark, MD

Pediatrics Physician · Macon, GA

Individual Active NPI

NPI number 1669448569

Practice location

744 1st St
Macon, GA 31201-6840
Phone
(478) 633-7600
Fax
(478) 633-7354

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NPI record

NPI
1669448569
Entity type
Individual (Type 1)
Enumeration date
February 28, 2006
Last updated
May 21, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036700 GA

About Dr. Clark

Edward K. Clark, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 744 1st St, Macon, GA 31201-6840. The NPI number 1669448569 was assigned on February 28, 2006 and the record was last updated on May 21, 2013.

Dr. Clark lists a license in the registry: #036700 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward K. Clark, MD?

The NPI number is 1669448569.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (478) 633-7600.

Where is Dr. Clark located?

744 1st St, Macon, GA 31201-6840.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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