Individual provider · Type 1 NPI

Teri Clark, DO

Student in an Organized Health Care Education/Training Program · Columbus, GA

NPI number 1316732175 Active

Practice location

1900 10th Ave
Columbus, GA 31901-3600

Call (706) 571-1000 Map

Mailing address

2006 Ashley Dr
Phenix City, AL 36867-1738

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316732175

Teri Clark, DO's National Provider Identifier is 1316732175, issued on Apr 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, GA. The record was last updated on Apr 11, 2025.