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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023753357

Dr. Kameron Alexander Clark, MD is a Student in an Organized Health Care Education/Training Program in Macon, Georgia. Licensed in Georgia and North Carolina. Registered with an NPI since 2022.

Licensed in
GA, NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 Hemlock St # 165
Macon, GA 31201-2102
Phone: (252) 946-0181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 15039 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NC)

Record details

NPI number1023753357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

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