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IndividualActive

Marshall B Clack, Ii II

Contractor

NPI: 1275963514Madison, Georgia, 30650(706) 752-0322Male

About Marshall B Clack, Ii II

Marshall B Clack, Ii II is a male healthcare professional specializing in Contractor, registered under National Provider Identifier (NPI) number 1275963514. Their primary practice is located at 1075 S MAIN ST, Madison, Georgia 30650.

Patients can reach the office at (706) 752-0322. Marshall B Clack, Ii II has been NPI-registered since 2013.

Doctor Details

Identity & Credentials

NPI Number
1275963514
Entity Type
Individual
First Name
Marshall
Last Name
Clack, Ii
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
1075 S MAIN ST
City
Madison
State
Georgia
ZIP
30650-2033
Country
United States
Phone
(706) 752-0322

Specialty & Taxonomy

Primary Specialty
Contractor
Classification
Contractor
Taxonomy Code
171W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
2323 FIELDSTONE DR SE
City
CONYERS
State
GA
ZIP
300131918

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Marshall B Clack, Ii II's NPI number?
Marshall B Clack, Ii II's National Provider Identifier (NPI) is 1275963514. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Marshall B Clack, Ii II specialize in?
Marshall B Clack, Ii II specializes in Contractor.
Where is Marshall B Clack, Ii II located?
Marshall B Clack, Ii II practices at 1075 S MAIN ST, Madison, Georgia 30650. You can reach them by phone at (706) 752-0322.
Does Marshall B Clack, Ii II accept Medicare?
Based on available data, Marshall B Clack, Ii II is not currently enrolled in the Medicare program.
Does Marshall B Clack, Ii II offer telehealth or virtual visits?
Marshall B Clack, Ii II does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Marshall B Clack, Ii II is 1275963514.