Dr Nicholas William Clark, MD is a
Otolaryngology physician based in Sandy Springs, Georgia. Dr Nicholas William Clark is licensed to practice in Georgia (license number 99942) and his current practice location is 6085 Barfield Rd Ste 100, Sandy Springs, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 457-6303.
NPI number for Dr Nicholas William Clark is 1386106201 and his current mailing address is 6085 Barfield Rd Ste 100, Sandy Springs, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386106201.
Physician's Profile
| Full Name | Dr Nicholas William Clark |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
|---|
| Location | 6085 Barfield Rd Ste 100, Sandy Springs, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386106201
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 06/15/2024
Medical Identifiers
Medical identifiers for Dr Nicholas William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386106201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 249966 (North Carolina) | Secondary |
| 207Y00000X | Otolaryngology | 99942 (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 Nicholas William 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 Nicholas William Clark, MD
6085 Barfield Rd Ste 100,
Sandy Springs, GA 30328-4403
Ph: () - | Dr Nicholas William Clark, MD
6085 Barfield Rd Ste 100,
Sandy Springs, GA 30328-4403
Ph: (770) 457-6303 |
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