M Clark Colvard Jr MD PC

NPI #1487812517 in Fort Oglethorpe, Georgia

Provider Information

NPI Number: 1487812517
Entity Type: Organization
Organization Name: M Clark Colvard Jr MD PC
Primary Specialty: Specialist
Enumeration Date: May 27, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 102 GROSS CRESCENT CIR
Address 2: SUITE 300
City: Fort Oglethorpe
State: Georgia
ZIP Code: 30742-3670
Phone: (706) 861-1726

Authorized Official

Name: M CLARK COLVARD JR., MD
Title: OWNER
Phone: (423) 495-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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