Individual
CLARK MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
(706) 272-6049
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
(706) 272-6049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54813
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
54813
GA
Other
Enumeration date
03/10/2006
Last updated
03/23/2023
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