MARSHALL B II CLACK, II – Contractor, NPI 1275963514

MARSHALL B II CLACK, II is a healthcare provider. based in Conyers, Georgia. specializing in Contractor. The NPI Number for MARSHALL B II CLACK, II is 1275963514

Main info

Male
Sole Proprietor
Name
MARSHALL B II CLACK, II
NPI
1275963514
Phone
(770) 710-3598
Address
2323 FIELDSTONE DR SE
Enumeration Date
23 November 2013
Last Update Date
23 November 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for MARSHALL B II CLACK, II

  • 2323 FIELDSTONE DR SE

    CONYERS, GA 300131918

    Phone: (770) 710-3598

    Type: Mailing

  • 1075 S MAIN ST

    ST 100

    MADISON, GA 306502033

    Phone: (706) 752-0322

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30013)

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Reviews

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Frequently asked questions

Does MARSHALL B II CLACK, II have a public NPI I can cite?
Public records show MARSHALL B II CLACK, II under NPI 1275963514.
Is MARSHALL B II CLACK, II currently accepting referrals based on NPI status?
Registry metadata lists MARSHALL B II CLACK, II as active.
What type of care does MARSHALL B II CLACK, II provide?
MARSHALL B II CLACK, II's profile centers on Contractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARSHALL B II CLACK, II?
MARSHALL B II CLACK, II is associated with Conyers, Georgia in the same public data insurers reference.
Who maintains MARSHALL B II CLACK, II's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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