Individual provider · Type 1 NPI

Amanda De Castro Clark, MD

Pediatrics Physician · Augusta, GA

NPI number 1275470171 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Call (706) 721-0211 Map

Mailing address

470 Lake Shore Pkwy
Davenport, FL 33896-7861

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X112659 (GA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1275470171

Amanda De Castro Clark, MD's National Provider Identifier is 1275470171, issued on Apr 30, 2026. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Augusta, GA. The record was last updated on Apr 30, 2026.