Search › Georgia › 122300000X
Mark Clegg, DMD
NPI 1245247303 · on the registry since 2006
Practice
- Address
- 606 N Hutchinson Ave
Adel, GA 31620 - Phone
- (229) 896-2572
- Fax
- (229) 896-1162
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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