MARSHALL B CLACK, II II
NPI 1275963514
Contractor in Madison, GA

Active since November 23, 2013
1075 S MAIN ST, ST 100, MADISON, GA 30650(706) 752-0322 Get Directions Write a Review

NPPES record last updated: November 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marshall B Clack, Ii Ii NPPES

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

MARSHALL B CLACK, II II (NPI 1275963514) is an individual contractor provider in Madison, Georgia and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1275963514
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMARSHALL B CLACK, II II
Location Address1075 S MAIN ST, ST 100Madison, GA 30650-2033
Mailing Address2323 Fieldstone Dr SeConyers, GA 30013-1918 · (770) 710-3598
Sole ProprietorYes
Enumeration DateNovember 23, 2013
NPI 1275963514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1075 S MAIN ST, Madison, GA 30650

Other Providers at the Same Location NPPES 6

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

Internal Medicine
1075 S MAIN ST, STE 300
MADISON, GA 30650
Internal Medicine
1075 S MAIN ST, STE 300
MADISON, GA 30650
Nurse Practitioner (Family)
1075 S MAIN ST, SUITE 100
MADISON, GA 30650
Internal Medicine
1075 S MAIN ST, SUITE 400
MADISON, GA 30650
Internal Medicine
1075 S MAIN ST
MADISON, GA 30650
Internal Medicine
1075 S MAIN ST, SUITE 400
MADISON, GA 30650

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 Marshall Clack, Ii's NPI number?

The NPI number for Marshall Clack, Ii is 1275963514. It was assigned to this individual provider in the NPPES registry on November 23, 2013.

Where is Marshall Clack, Ii located?

Marshall Clack, Ii practices at 1075 S Main St St 100, Madison, GA 30650. The listed phone number is (706) 752-0322.

What is Marshall Clack, Ii's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Marshall Clack, Ii was last updated on November 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.