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Search › Georgia › 363L00000X

Casey Clark, NP

NPI 1225542558 · on the registry since 2017

Practice

Address
230 Sheraton Blvd
Macon, GA 31210
Phone
(478) 474-2947
Fax
(478) 971-8149
Organisation at this address
Axis Surgery Center Llc
Nexus Pain Center Of Houston County
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia