Individual
DR. VERGENA MONTGOMERY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3142 ESPLANADE CIR SW, ATLANTA, GA 30311-4221
(404) 441-1365
(210) 428-6384
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(404) 441-1365
(210) 428-6384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56987
GA
207R00000X
Internal Medicine Physician
ME76527
FL
Other
Enumeration date
08/13/2018
Last updated
08/26/2022
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