Dr Jerrold A Clark, MD in Marietta, GA

Dr Jerrold A Clark, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Marietta, Georgia. Dr Jerrold A Clark is licensed to practice in Georgia (license number 026841) and his current practice location is 2275 Northwest Parkway Se, Suite 140, Marietta, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 951-1793.

NPI number for Dr Jerrold A Clark is 1700866324 and his current mailing address is 14275 Midway Rd, Suite 400, Addison, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700866324.

Contact Information

	Dr Jerrold A Clark, MD
	2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319
	(770) 951-1793
	(770) 612-3380

Map and Direction

Physician's Profile

Full Name	Dr Jerrold A Clark
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	2275 Northwest Parkway Se, Marietta, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1700866324
Provider Enumeration Date: 01/19/2006
Last Update Date: 05/29/2015

Medical Identifiers

Medical identifiers for Dr Jerrold A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700866324	NPI	-	NPPES
52235375 009	Other	GA	BCBS MARIETTA
345972	Other	GA	WELLCARE
202I220225	Medicaid	GA
52235375 006	Other	GA	BCBS MONROE
581267100	Other	GA	TRICARE
000302112A	Medicaid	GA
52235375 008	Other	GA	BCBS BLECKLEY
52235375 005	Other	GA	BCBS COLISEUM
52235375 007	Other	GA	BCBS MACON NORTHSIDE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZB0001X	Pathology - Blood Banking & Transfusion Medicine	026841 (Georgia)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	026841 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerrold A Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jerrold A Clark, MD 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: (770) 951-1793	Dr Jerrold A Clark, MD 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067-9319 Ph: (770) 951-1793

Reviews and Comments

Pathology Doctors in Marietta, GA

Burton Kim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000
Dr. Weijian Zhu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 488 Kennesaw Ave Nw, Marietta, GA 30060 Phone: 404-888-7575 Fax: 678-631-4624
Dr. Sara Nolting, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435
Dr. Sara Elizabeth Nash, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2275 Northwest Parkway Se, Suite 140, Marietta, GA 30067 Phone: 770-951-1793
Dr. Carol P Crisco, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435
Haohai Liang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5505 Fax: 770-793-7919
Dr. Aimee Popp, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5435 Fax: 770-793-5472

Dr Jerrold A Clark, MD - Pathology in Marietta, GA