Search › Georgia › 363LA2100X
Mark Clark, FNP
NPI 1285631887 · on the registry since 2005
Practice
- Address
- 102 Barrett St
Gainesville, GA 30501 - Phone
- (770) 540-4274
Additional practice sites
- 1240 Jesse Jewell Pkwy Se, Gainesville, GA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363L00000X
363LA2200X
363LG0600X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-05
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