Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Childrens Clinic of Clarksdale PA

Organization Pediatrics Physician · NPI 1497834030

Childrens Clinic of Clarksdale PA is a Pediatrics Physician in Clarksdale, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2245 N State St
Clarksdale, MS 38614
Phone: (662) 627-4131
Fax: (662) 627-2702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R861078 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 07191 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 07070 (MS)

Record details

NPI number1497834030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carole Mangrem — Partner · (662) 627-4131
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1447, Clarksdale, MS 38614

Other providers in Clarksdale