Jeffrey G Clark is a Urology in Brookhaven, Mississippi. Jeffrey G Clark practices all healthcare services and medical treatments related to Urology. The NPI Number for Jeffrey G Clark is 1376643247. The last update date is 2007-07-08.
Jeffrey G Clark's current location address is 425 Highway 51 N, Brookhaven, Mississippi. You can contact this provider via phone number 6018335713 and fax number 6018331616. The mailing address for Jeffrey G Clark is 425 Highway 51 N, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey G Clark |
|---|---|
| Address | 425 Highway 51 N, Brookhaven, Mississippi |
| Phone Number | 6018335713 |
| Fax Number | 6018331616 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376643247 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 425 Highway 51 N |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396012350 |
| Phone Number | 6018335713 |
| Fax Number | 6018331616 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 13241 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116404 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey G Clark by the Centers for Medicare & Medicaid Services?
The Jeffrey G Clark has been issued the NPI (National Provider Identifier) 1376643247 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jeffrey G Clark is geographically located?
The Jeffrey G Clark is physically situated at the following location: 425 Highway 51 N, Brookhaven, MS, 396012350.
What is Jeffrey G Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey G Clark is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
When was the Jeffrey G Clark's 1376643247 issued?
The Jeffrey G Clark's 1376643247 was issued on 2006-09-22.
As of what date were the Jeffrey G Clark's details last updated?
The information pertaining to the Jeffrey G Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.