Individual
DR. CHARLES SPURGEON CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4605 MAGAZINE ST, NEW ORLEANS, LA 70115-1517
(504) 842-3000
Mailing address
3530 HOUMA BLVD STE 300, METAIRIE, LA 70006-4203
(504) 264-5142
(504) 455-2648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
338282
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09004327
—
MS
Enumeration date
06/04/2013
Last updated
03/11/2026
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