Shanelle A. Clarke in Atlanta - Pediatric Critical Care Medicine
Shanelle A. Clarke - NPI 1104973999
Shanelle A. Clarke is a Pediatric Critical Care Medicine in Atlanta, Georgia. Shanelle A. Clarke practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Shanelle A. Clarke is 1104973999. The last update date is 2021-01-22.
Shanelle A. Clarke's current location address is 2835 Brandywine Rd, Atlanta, Georgia. You can contact this provider via phone number 4042562593. The mailing address for Shanelle A. Clarke is 2835 Brandywine Rd, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanelle A. Clarke |
|---|---|
| Address | 2835 Brandywine Rd, Atlanta, Georgia |
| Phone Number | 4042562593 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104973999 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2021-01-22 |
Provider Mailing Address Detail
| Address | 2835 Brandywine Rd |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303415510 |
| Phone Number | 4042562593 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 50214 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34768400 | WI | -- | |
| 003170465A | GA | -- | |
| 1104973999 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shanelle A. Clarke by the Centers for Medicare & Medicaid Services?
The Shanelle A. Clarke has been issued the NPI (National Provider Identifier) 1104973999, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shanelle A. Clarke is physically located?
The Shanelle A. Clarke is situated at the following address: 2835 Brandywine Rd, Atlanta, GA 303415510.
What is the Shanelle A. Clarke's area of specialization and corresponding taxonomy classification?
The Shanelle A. Clarke's specialty field is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1104973999 to Shanelle A. Clarke?
The Shanelle A. Clarke received its 1104973999 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information related to Shanelle A. Clarke most recently updated or refreshed?
The details pertaining to the Shanelle A. Clarke, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-22.
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