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

Individual provider Contractor · NPI 1275963514

Marshall B Clack, II II is a Contractor in Madison, Georgia. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

1075 S Main St St 100
Madison, GA 30650-2033
Phone: (706) 752-0322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1275963514
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2013
Last updated in NPPESNovember 23, 2013