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NPI 1376643247

IndividualActive

Jeffrey Clark, M.D.

NPI 1376643247 · Urology Physician · Brookhaven, MS

Provider details

NPI number: 1376643247
Entity type: Individual
Primary specialty: Urology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 13241 (MS)

Practice location

425 Highway 51 N

Brookhaven, MS 39601-2350

Phone: (601) 833-5713

Fax: (601) 833-1616

More MS providers

Mailing address

425 Highway 51 N

Brookhaven, MS 39601-2350

Registry dates

Enumerated: 2006-09-22
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jeffrey Clark, M.D. — NPI 1376643247, Brookhaven, MS | NPI Central