Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARSHALL B CLACK, II II
Active Sole ProprietorMARSHALL B CLACK, II II is a Contractor healthcare provider located in MADISON, Georgia. NPI 1275963514 is currently active in the NPPES registry. Verify at CMS.
Contractor · MADISON, GA
Registration Details
- NPI Number
- 1275963514
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2013 (12.745155720586 yrs)
- Last Updated
- Nov 23, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
1075 S MAIN STST 100MADISON, GA, 306502033Browse GA providers · Browse ZIP 30650
- Phone
- 7067520322
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in MADISON, GA
| Name | Credential | NPI |
|---|---|---|
| LISA LYLES | — | 1922647577 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.