Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY A CLARK, DO
Active Sole ProprietorCOURTNEY 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 SPICAYUNE, MS, 394668141Browse 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.