Individual
MARK A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1745 PEACHTREE ST STE U, INTERNAL MEDICINE HEALTH CARE TEAM A, ATLANTA, GA 30309
(404) 888-7646
(404) 888-7647
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1736
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042805
GA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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