Individual
CURTIS E CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
610 19TH ST, COLUMBUS, GA 31901-1528
(706) 320-3126
(706) 320-3054
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000893538L
—
GA
Enumeration date
05/04/2006
Last updated
07/29/2024
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