National Provider Identifier Database

MARSHALL B CLACK II II
Contractor

A contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.


Contact Information

MARSHALL B CLACK II II
1075 S MAIN ST
ST 100
MADISON, GA30650-2033
Phone: 706-752-0322
Fax:
Website:
Specialty Taxonomy Code
* Contractor 171W00000X

* Indicates primary specialty

NPI Profile & details for MARSHALL B CLACK II II

NPI Number 1275963514
Credentials
Entity Individual
Enumeration date 11/23/2013
Last updated 11/23/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers n/a
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.

Reviews for MARSHALL B CLACK II II

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