NPI 1023085966

Lowell Clark, MD

Practitioner Pediatric Critical Care Medicine Physician Macon, GA

Practice location

Address: 777 Hemlock St Msc 83, Macon, GA 31201-2102
Phone: (478) 633-7140

Registered specialties (2)

Pediatric Critical Care Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0203X Licence 017444 (GA)

Other Pediatrics providers in Georgia →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 017444 (GA)

Registry record

NPI: 1023085966
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2006
Record last updated: 29 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.