National Provider Identifier Database

WILLIAM G CLARK, MD – NPI #1518987478
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

WILLIAM G CLARK, MD
1603 OLD AMY RD
LAUREL, MS39440-2139
Phone: 601-428-7100
Fax: 601-428-7159
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for WILLIAM G CLARK

NPI Number 1518987478
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 07/08/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 15708
  • MS Medicaid: 00118813
Hospital affiliation n/a

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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