Search › Mississippi › 152W00000X
Maurice Clark, OD
NPI 1770543092 · on the registry since 2006 · sole proprietor
Practice
- Address
- 499 Gloster Creek Village
Suite F3
Tupelo, MS 38801 - Phone
- (662) 350-3676
- Fax
- (662) 269-2601
- Organisation at this address
- 2020 Vision Center, Pa
Urology Professional Association
North Mississippi Electrophysiology, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- MS, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-31
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