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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLENN L. CLARK M.D.
NPI 1093700320
Radiology - Diagnostic Radiology in Marianna, FL

Active since September 13, 2005
4250 HOSPITAL DR, MARIANNA, FL 32446(850) 718-2597(850) 718-2551 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn L. Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN L. CLARK M.D. (NPI 1093700320) is an individual diagnostic radiology provider in Marianna, Florida, licensed in Florida (ME42096) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1093700320
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGLENN L. CLARKCredential: M.D.
Location Address4250 HOSPITAL DRMarianna, FL 32446-1917
Mailing AddressPo Box 1128Jennings, LA 70546-1128 · (337) 824-4403 · Fax (337) 824-9731
Phone(850) 718-2597
Fax(850) 718-2551
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1093700320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME42096
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4250 HOSPITAL DR, Marianna, FL 32446
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES CURRY EAVES JR. DO
Emergency Medicine
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (850) 716-2561
SMALL HOSPITAL INNOVATIONS LLC
Emergency Medicine
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (850) 526-2200
ANGELANELL D STEPHENS BSN, RN
Registered Nurse
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (850) 526-2200
LEIGH ANN SPOONER
Registered Nurse
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (850) 526-2200
DR. RAUL PHILIP OLAZABAL MD
Radiology (Diagnostic Radiology)
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (850) 526-2200
EMINENCE EMERGENCY PHYSICIANS, LLC
Emergency Medicine
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (469) 401-2386
FLORIDA EM-I MEDICAL SERVICES, PA
Emergency Medicine
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (850) 526-2200
AYUSHMAN SHARMA MD
Radiology (Diagnostic Radiology)
4250 HOSPITAL DR
MARIANNA, FL 32446
Jackson County (850) 526-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Clark's NPI number?

The NPI number for Glenn Clark is 1093700320. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Glenn Clark located?

Glenn Clark practices at 4250 Hospital Dr, Marianna, FL 32446. The listed phone number is (850) 718-2597.

What is Glenn Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Glenn Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.