DR. Carlos Stanford Clark II, MD

NPI #1063851277 in Dothan, Alabama

Provider Information

NPI Number: 1063851277
Entity Type: Individual
Name: DR. Carlos Stanford Clark II, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 20, 2013
Last Updated: Aug 18, 2013

Practice Location

Address: 201 DOCTORS DRIVE
City: Dothan
State: Alabama
ZIP Code: 36301
Phone: (334) 794-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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