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Contact Information

MICHAEL J CLARK, MD
5671 PEACHTREE DUNWOODY STE 700
ATLANTA, GA30342-5047
 Phone: 404-847-9999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL J CLARK · (Male)

NPI Number 1407143381
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2011
Last updated 10/31/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 069783
  • GA License # 4879
Hospital affiliation(s)
  • SAINT JOSEPH'S HOSPITAL OF ATLANTA INC - (Acute Care)
    5665 PEACHTREE DUNWOODY ROAD
    ATLANTA, GA 30342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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