Lowell Clark
MD | Pediatric Critical Care Medicine | Male
Lowell Clark, MD is a Macon, Georgia based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Lowell Clark is
777 Hemlock St, Msc 83, Macon, Georgia - 31201-2102. He can be contacted on phone at
478-633-7140.
Lowell Clark is a sole proprietor of his business.
NPI number (Unique professional ID) for Lowell Clark is
1023085966 which was assigned by NPPES on 28 Feb, 2006 and it was last updated on 29 Sep, 2012.
Lowell Clark license number is
017444 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Georgia.
Lowell Clark is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Lowell Clark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Lowell Clark |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Lowell 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 : | 777 Hemlock St, Msc 83
Macon, GA, 31201-2102
United States |
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| Phone Number : | 478-633-7140 |
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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 : | 1023085966 |
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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 : | 29 Sep, 2012 |
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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 Lowell Clark are as mentioned. Primary taxonomy code for Lowell Clark, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 017444 | GA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 017444 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Lowell Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000138982C | 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 : | 777 Hemlock St, Msc 83
Macon, GA, 31201-2102
United States |
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| Phone Number : | 478-633-7140 |
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Business Location:
Patients can refer following map for directions to
Lowell 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.