Individual
MACKENZIE JAMES CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1377 LOCUST AVE, FAIRMONT, WV 26554-1791
(304) 363-3500
(304) 366-4073
Mailing address
PO BOX 9186, MORGANTOWN, WV 26506-9186
(304) 293-1224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27820
WV
208000000X
Pediatrics Physician
27820
WV
Other
Enumeration date
04/06/2015
Last updated
05/12/2025
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