Search › Georgia › 207ZP0102X
Jerrold Clark, MD
NPI 1700866324 · on the registry since 2006
Practice
- Address
- 2275 Northwest Parkway Se
Suite 140
Marietta, GA 30067 - Phone
- (770) 951-1793
- Fax
- (770) 612-3380
- Organisation at this address
- Ocmulgee Medical Pathology Association Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZB0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-29
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