Individual provider · Type 1 NPI
Gerald H. Clark, MD
Pediatric Adolescent Medicine Physician · Roswell, GA
NPI number
1386640241
Active
Practice location
1285 Hembree Rd, Ste 100
Roswell, GA 30076-5715
Fax (770) 442-9618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 026083 (GA) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1386640241
Gerald H. Clark, MD's National Provider Identifier is 1386640241, issued on Jun 24, 2005. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Roswell, GA. The record was last updated on Jul 13, 2026.