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M CLARK COLVARD JR MD PC
NPI 1487812517
Specialist in Fort Oglethorpe, GA

Active since May 27, 2008
102 GROSS CRESCENT CIR, SUITE 300, FORT OGLETHORPE, GA 30742(706) 861-1726(706) 861-2224 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About M Clark Colvard Jr Md Pc NPPES

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

M CLARK COLVARD JR MD PC (NPI 1487812517) is a healthcare organization registered as a specialist in Fort Oglethorpe, Georgia and active in the NPI registry since May 2008. The organization lists M Clark Colvard, Owner, as its authorized official.

NPPES Registry Identity

NPI1487812517
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameM CLARK COLVARD JR MD PC
Location Address102 GROSS CRESCENT CIR, SUITE 300Fort Oglethorpe, GA 30742-3670
Mailing Address102 Gross Crescent Cir, Suite 300Fort Oglethorpe, GA 30742-3670 · (706) 861-1726 · Fax (706) 861-2224
Phone(706) 861-1726
Fax(706) 861-2224
Organization SubpartNo
Authorized OfficialM Clark ColvardOwner · (423) 495-4939
Enumeration DateMay 27, 2008
Last NPPES UpdateJuly 28, 2008
✔ NPI 1487812517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 16957
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
102 GROSS CRESCENT CIR, Fort Oglethorpe, GA 30742
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Other Identifiers 2

Medicare PIN413567678AGA
Medicare UPIND29166

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

TENNESSEE VALLEY FOOT AND ANKLE CENTER
Podiatrist (Foot & Ankle Surgery)
102 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-0766
NORTH GEORGIA PLASTIC SURGERY LLC
Plastic Surgery
102 GROSS CRESCENT CIR, SUITE 501
FT OGLETHORPE, GA 30742
Catoosa County (423) 648-5525
TRI-COUNTY REHABILITATION & PAIN, LLC
Physical Medicine & Rehabilitation
102 GROSS CRESCENT CIR, SUITE 203
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-6056
THE VASCULAR CLINIC LLC
Surgery (Vascular Surgery)
102 GROSS CRESCENT CIR, SUITE 204
FT OGLETHORPE, GA 30742
Catoosa County (706) 858-0204

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 M Clark Colvard Jr MD PC's NPI number?

The NPI number for M Clark Colvard Jr MD PC is 1487812517. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is M Clark Colvard Jr MD PC located?

M Clark Colvard Jr MD PC is located at 102 Gross Crescent Cir Suite 300, Fort Oglethorpe, GA 30742. The listed phone number is (706) 861-1726.

What is M Clark Colvard Jr MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for M Clark Colvard Jr MD PC was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.