MEDICARE: TERESA E CLARK MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1659412898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERESA E CLARK MD PC

Provider Business Mailing Address
First Line	:	1003 CORONADO DR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-3716
Country	:	US
Telephone Number	:	404-444-4886
Fax Number	:	404-581-5440

Provider Business Practice Location Address
First Line	:	1003 CORONADO DR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-3716
Country	:	US
Telephone Number	:	404-444-4886
Fax Number	:	404-581-5440

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. TERESA E CLARK
Credential	:	MD
Telephone Number	:	404-444-4886

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	02/09/2017

Similar Medicare Providers

1780676031 — MRS. BETH S BOTNICK NP
Practice Location Address:

1430 STEPHENS DR NE
ATLANTA, GA
30329-3716

Practice Phone: 404-403-3326
Practice Fax:

1376629717 — DR. RICK A. KUHLMAN D.C.
Practice Location Address:

4205 ROSWELL RD NE
ATLANTA, GA
30342-3716

Practice Phone: 404-250-1414
Practice Fax: 404-250-1415

1326171877 — DR. SCOTT STEVEN CARLSON D.C.
Practice Location Address:

4205 ROSWELL RD NE
ATLANTA, GA
30342-3716

Practice Phone: 404-250-1414
Practice Fax:

1982864591 — JOSEPH Y BOTNICK LCSW
Practice Location Address:

1430 STEPHENS DR NE
ATLANTA, GA
30329-3716

Practice Phone: 404-245-6536
Practice Fax:

1063661346 — DR. TONYA A. WALKER D.C.
Practice Location Address:

4205 ROSWELL RD NE
ATLANTA, GA
30342-3716

Practice Phone: 404-250-1414
Practice Fax:

1417189705 — MS. JENNIFER STOWE LCSW
Practice Location Address:

1430 STEPHENS DR NE
ATLANTA, GA
30329-3716

Practice Phone: 404-245-6536
Practice Fax: 404-320-7211

Directions to “TERESA E CLARK MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.