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Contact Information

MILDRED I CLARKE, MD
COAHOMA TOWN HALL (CITY HALL)
325 CHERRY ST CIRCLE 38617
COAHOMA MISS., MS38617
 Phone: 662-337-2964
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MILDRED I CLARKE · (Female)

NPI # 1427512698
Status Active
Credentials MD
Entity Individual
Enumeration date 01/22/2019
Last updated 01/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # V009.
  • NY License # 098478
Hospital affiliation(s) Not Available
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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