Dr. Shanelle A. Clarke
MD | Pediatric Cardiology | Female
Dr. Shanelle A. Clarke, MD is a Atlanta, Georgia based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Shanelle A. Clarke is
1405 Clifton Rd Ne, Atlanta, Georgia - 30322-5510. She can be contacted on phone at
404-256-2593.
Dr. Shanelle A. Clarke is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shanelle A. Clarke is
1104973999 which was assigned by NPPES on 04 Jan, 2007 and it was last updated on 22 Jan, 2021.
Dr. Shanelle A. Clarke license number is
74968 for Pediatrics Pediatric Cardiology (2080P0202X) in Georgia.
Dr. Shanelle A. Clarke provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Shanelle A. Clarke basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Shanelle A. Clarke |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Shanelle A. Clarke 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 : | 1405 Clifton Rd Ne
Atlanta, GA, 30322-5510
United States |
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| Phone Number : | 404-256-2593 |
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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 : | 1104973999 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2007 |
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| Last Updated On : | 22 Jan, 2021 |
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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 Dr. Shanelle A. Clarke are as mentioned. Primary taxonomy code for Dr. Shanelle A. Clarke, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 74968 | GA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 50214 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shanelle A. Clarke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003170465A | MEDICAID | GA | |
| 1104973999 | MEDICAID | WI | |
| 34768400 | MEDICAID | WI | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | sibley@choa.gadirect.com
Sibley | | HIE
Health Information Exchange (HIE)
| OTHER
Other
PHI | 1405 CLIFTON RD NE,
ATLANTA, GA, 30322-5510
United States |
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 : | 2835 Brandywine Rd, Suite 300
Atlanta, GA, 30341-5510
United States |
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| Phone Number : | 404-256-2593 |
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Business Location:
Patients can refer following map for directions to
Dr. Shanelle A. Clarke practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.