Edward K Clark
MD | Pediatrics | Male
Edward K Clark, MD is a Macon, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Edward K Clark is
744 1st St, Macon, Georgia - 31201-6840. He can be contacted on phone at
478-633-7600 and fax number 478-633-7354.
Edward K Clark is a sole proprietor of his business.
NPI number (Unique professional ID) for Edward K Clark is
1669448569 which was assigned by NPPES on 28 Feb, 2006 and it was last updated on 21 May, 2013.
Edward K Clark license number is
036700 for Pediatrics (208000000X) in Georgia.
Edward K Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Edward K Clark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Edward K Clark |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Edward K Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 744 1st St
Macon, GA, 31201-6840
United States |
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| Phone Number : | 478-633-7600 |
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| Fax Number : | 478-633-7354 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669448569 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Feb, 2006 |
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| Last Updated On : | 21 May, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward K Clark are as mentioned. Primary taxonomy code for Edward K Clark, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036700 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Edward K Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000672361C | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 744 1st St
Macon, GA, 31201-6840
United States |
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| Phone Number : | 478-633-7600 |
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| Fax Number : | 478-633-7354 |
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Business Location:
Patients can refer following map for directions to
Edward K Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.