Search › Mississippi › 101YA0400X
Richard Clark, MDCAC
NPI 1285866079 · on the registry since 2009
Practice
- Address
- 800 Pineview Dr
Hattiesburg, MS 39401 - Phone
- (601) 705-1901
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi