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NPI Verification

National Provider Identifier: 1376643247

Jeffrey G Clark, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

425 HIGHWAY 51 N

BROOKHAVEN, MS 396012350

Phone: 601-833-5713

NPI Enumeration Date

September 22, 2006

NPI Number

1376643247

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry