Lowell Clark MD

NPI 1023085966 - Pediatrics - 208000000X

NPI Details
NPI 1023085966
Gender Male
Enumeration Date 02/28/2006
Last Updated 09/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
777 HEMLOCK ST
MSC 83
MACON GA, 31201-2102, US
Phone (478) 633-7140
Fax
Business Location
777 HEMLOCK ST
MSC 83
MACON GA, 31201-2102, US
Phone (478) 633-7140
Fax
Toxanomy
Taxonomy Code 208000000X
License State Georgia
License Number 017444
Remove 1023085966 NPI Number
 

According to our database, Lowell Clark MD NPI is 1023085966, taxonomy code is 208000000X and license number is 017444, license state is located at Georgia. Lowell Clark MD physically located at 777 Hemlock St, Macon GA, 31201-2102. NPI Number Lowell Clark MD has the Individual type.

Sponsored links

1023085966 NPI number is provided on an as is basis without warranty of any kind. 1023085966 is maintained by the National Plan & Provider Enumeration System. The contents of Lowell Clark MD are for informational purposes only.