Most Relevant Information
Provider Data
| NPI Number: | 1003511072 |
| Provider Name: | ALEC COLE CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 207T00000X |
| Specialty: | Neurological Surgery |
| License Number: | T-5055 |
Most Important Dates
| Enumeration Date: | 03/31/2023 |
| Last Updated: | 08/13/2023 |
Provider Practice Location
2500 N STATE ST
JACKSON
MS
392164500
Practice Location Phone/Fax
| Phone: | 6019841000 |
| Fax: |
Provider Mailing Location
1833 SAINT MARY ST
JACKSON
MS
392021267
Provider Mailing Phone/Fax
| Phone: | 8139974155 |
| Fax: |
Suggested EMR
Neurosurgeon EMR