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Search › Georgia › 171W00000X

Marshall Clack, Ii

NPI 1275963514 · on the registry since 2013 · sole proprietor

Practice

Address
1075 S Main St
St 100
Madison, GA 30650
Phone
(706) 752-0322
Organisation at this address
Eduardo M Cossio Mdpc
Georgia Foot & Ankle, P.C.
Miguel E. Cossio M.D., P.C.
Oconee Valley Healthcare Inc
Medical Outreach Services Of Madison Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
171W00000X
171W00000X
Sex
Male
Record last updated
2013-11-23

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