Clark, Jelunder A Woodard
Clark, Jelunder A Woodard is an individual health care provider with primary practice located at 1331 Mount Zion Rd , Morrow GA 30260-2357. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Jelunder A Woodard can be contacted via phone (770) 629-3217.Contact Information
Primary practice address
1331 Mount Zion Rd
Morrow GA 30260-2357
Phone: (770) 629-3217
Fax: (404) 666-0085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042544 | Georgia |
Profile Details
| NPI number | 1508881368 |
|---|---|
| LBN Legal business name | Clark, Jelunder A Woodard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Mar 31st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508881368 | NPPES |
| Georgia | MEDICAID | 000949627A |
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