William G. Clark M.D.

NPI 1518987478 - Psychiatry & Neurology - 2084P0805X

NPI Details
NPI 1518987478
Gender Male
Enumeration Date 07/20/2006
Last Updated 07/08/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1603 OLD AMY RD
LAUREL MS, 39440-2139, US
Phone (601) 428-7100
Fax (601) 428-7159
Business Location
1603 OLD AMY RD
LAUREL MS, 39440-2139, US
Phone (601) 428-7100
Fax (601) 428-7159
Toxanomy
Taxonomy Code 2084P0805X
License State Mississippi
License Number 15708
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According to our database, Dr. William G. Clark M.D. NPI is 1518987478, taxonomy code is 2084P0805X and license number is 15708, license state is located at Mississippi. William G. Clark M.D. physically located at 1603 Old Amy Rd, Laurel MS, 39440-2139. NPI Number William G. Clark M.D. has the Individual type.

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1518987478 NPI number is provided on an as is basis without warranty of any kind. 1518987478 is maintained by the National Plan & Provider Enumeration System. The contents of William G. Clark M.D. are for informational purposes only.