Individual
COURTNEY A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 347-9024
(601) 798-5914
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1790100113
VA
208000000X
Pediatrics Physician
Primary
29407
MS
Other
Enumeration date
02/21/2014
Last updated
11/15/2021
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