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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COURTNEY A CLARK, DO

Active Sole Proprietor

COURTNEY A CLARK, DO is a Pediatrics healthcare provider located in PICAYUNE, Mississippi. NPI 1790100113 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · PICAYUNE, MS

Registration Details

NPI Number
1790100113
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2014 (12.47624921796 yrs)
Last Updated
Nov 15, 2021
Licenses
1790100113 (VA)
29407 (MS)
Sole Proprietor
Yes

Practice Information

Address
2274 HIGHWAY 43 S
PICAYUNE, MS, 394668141
Browse MS providers · Browse ZIP 39466
Phone
6013479024
Fax
6017985914
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in PICAYUNE, MS

Name Credential NPI
DR. APRIL MICHELLE ROSS M.D. 1982782330
DR. ASHRAF TABATABAII MD 1679726905
MRS. ALICIA MARIE PRESSLEY-MOSS M.D. 1407112089
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.