Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERROLD A CLARK, MD
ActiveAnatomic Pathology & Clinical Pathology · MARIETTA, GA
Registration Details
- NPI Number
- 1700866324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2006 (20.255845520342 yrs)
- Last Updated
- May 29, 2015
- Licenses
-
026841 (GA)026841 (GA)
Practice Information
- Address
-
2275 NORTHWEST PARKWAY SESUITE 140MARIETTA, GA, 300679319Browse GA providers · Browse ZIP 30067
- Phone
- 7709511793
- Fax
- 7706123380
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| HANY M BISHARA | MD | 1760444186 |
| DR. JUDY H. SEQUEIRA | M.D. | 1487604849 |
| DR. DAVID SCHLOSNAGLE | MD | 1477506830 |
| RICHARD ERNEST FINGERLE | M.D. | 1831115567 |
| DR. DOUGLAS G HOFFMANN | MD | 1891702072 |
| DR. WEIJIAN ZHU | MD | 1134138530 |
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.