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Jeffrey Clark, M.D
NPI 1376643247 · on the registry since 2006
Practice
- Address
- 425 Highway 51 N
Brookhaven, MS 39601 - Phone
- (601) 833-5713
- Fax
- (601) 833-1616
- Organisation at this address
- Brookhaven Urology, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Urology Physician
208800000X
- Licence states on file
- MS
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 Mississippi