Lowell Clark
Pediatrician Pediatric Critical Care Doctor
777 Hemlock St Msc 83
Macon
, Georgia 31201-2102
Lowell Clark
Pediatrician Pediatric Critical Care Doctor
777 Hemlock St Msc 83
Macon
, Georgia 31201-2102
(478) 633-7140
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Lowell Clark
- 777 Hemlock St Msc 83
- Macon, GA
- Zip : 31201-2102
- Phone : (478) 633-7140
Second Address
- Lowell Clark
- 777 Hemlock St Msc 83
- Macon, GA
- Zip : 31201-2102
- Phone : (478) 633-7140
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FAQs
Where did Lowell Clark attend graduate school?
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Is Lowell Clark board certified?
What type of doctor is Lowell Clark
In what state does Lowell Clark practice in?
Where is Lowell Clark ’s practice located?
What is Lowell Clark ’s gender?
Is Lowell Clark a sole practitioner?
Is Lowell Clark accepting new patients?
What languages does Lowell Clark speak?
Does Lowell Clark accept insurance?
Does Lowell Clark offers telemedicine?
What is Lowell Clark ’s professional license number?
What is Lowell Clark ’s NPI number?
Does Lowell Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 017444 | GA |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 017444 | GA |
National Provider Identifier
| NPI | 1023085966 |
|---|---|
| Provider Name | Lowell Clark |
| First Address | Macon, GA 31201-2102 |
| Second Address | Macon, GA 31201-2102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 29/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000138982C | (05) | GA |
| D45069 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.