Organization
CLARK MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON CLARK MD (OWNER)
(912) 623-2155
Entity
Organization
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
Enumeration date
11/18/2015
Last updated
07/20/2020
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