Clark, Michael Allen

Clark, Michael Allen is an individual health care provider with primary practice located at 3527 N Valdosta Rd , Valdosta GA 31602-6418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Clark, Michael Allen can be contacted via phone (229) 247-2290.

Contact Information

Primary practice address
3527 N Valdosta Rd Valdosta GA 31602-6418
Phone: (229) 247-2290
Fax: (229) 247-0091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 070239 Georgia

Profile Details

NPI number 1841452505
LBN Legal business name Clark, Michael Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jul 19th, 2013 - about 13 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.

Request for update

Popular Providers