Individual
DR. AARON TAYLOR CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 HILL POND LN, STATESBORO, GA 30458-0872
(912) 623-2155
(912) 623-2156
Mailing address
117 HILL POND LN, STATESBORO, GA 30458-0872
(912) 623-2155
(912) 623-2156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109717C
—
GA
Enumeration date
10/19/2010
Last updated
07/20/2020
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