Individual
SCOTT ALAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33663 BAYVIEW MEDICAL DR UNIT 2, LEWES, DE 19958-1663
(302) 645-9325
(888) 987-4534
Mailing address
1515 SAVANNAH RD FL 2, LEWES, DE 19958-1675
(302) 645-3499
(302) 644-4830
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
052157
GA
207RG0100X
Gastroenterology Physician
Primary
C1-0029052
DE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
052157
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928338112A
—
GA
Enumeration date
05/10/2006
Last updated
02/18/2026
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