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Dr. Jerrold A Clark, MD
Anatomic Pathology & Clinical Pathology Physician in Marietta, Georgia
NPI 1700866324

Jerrold A Clark is an Anatomic Pathology & Clinical Pathology Physician based in Addison, GA and is specialized in Anatomic Pathology & Clinical Pathology. Jerrold A Clark practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Jerrold A Clark is 1700866324 and holds a License No. 026841 (Georgia).

The current practice location address for Jerrold A Clark is 2275 Northwest Parkway Se, Marietta, GA and can be reached out via phone at 770-951-1793 and via fax at 770-612-3380. You can also correspond with Jerrold A Clark through the mailing address at 14275 MIDWAY RD, ADDISON, TX - 75001-3614 (mailing address contact number: 770-951-1793).

Location: 2275 Northwest Parkway Se, Marietta, GA, 75001-3614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700866324
Provider Name
Jerrold A Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2275 Northwest Parkway Se, Marietta, GA, 75001-3614
Phone Number
770-951-1793
Fax Number
770-612-3380
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52235375 009 01 GA BCBS MARIETTA
345972 01 GA WELLCARE
202I220225 05 GA
52235375 006 01 GA BCBS MONROE
581267100 01 GA TRICARE
000302112A 05 GA
52235375 008 01 GA BCBS BLECKLEY
52235375 005 01 GA BCBS COLISEUM
52235375 007 01 GA BCBS MACON NORTHSIDE
institution
Provider Business Practice Location Address Details
Address
2275 Northwest Parkway Se
City
Marietta
State
Georgia
Zip
30067-9319
Phone Number
770-951-1793
Fax Number
770-612-3380
person
Provider Business Mailing Address Details
Address
14275 Midway Rd
City
Addison
State
Texas
Zip
75001-3614
Phone Number
770-951-1793
Fax Number
610-271-4245
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Blood Banking & Transfusion Medicine
Taxonomy
207ZB0001X
License No.
026841 (Georgia)
Definition
A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Anatomic Pathology & Clinical Pathology
Taxonomy
207ZP0102X
License No.
026841 (Georgia)
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
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