George L Clark in North Charleston - Family Medicine

George L Clark - NPI 1013914126

George L Clark is a Family Medicine in North Charleston, South Carolina. George L Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for George L Clark is 1013914126. The last update date is 2008-03-10.

George L Clark's current location address is 8740 Rivers Ave, North Charleston, South Carolina. You can contact this provider via phone number 8435725990 and fax number 8435722928. The mailing address for George L Clark is 8740 Rivers Ave, North Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name George L Clark
Address 8740 Rivers Ave, North Charleston, South Carolina
Phone Number 8435725990
Fax Number 8435722928
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1013914126
Provider Enumeration Date 2005-07-05
Last Updated Date 2008-03-10

Provider Mailing Address Detail

Address 8740 Rivers Ave
City North Charleston
State South Carolina (SC)
Post Code 294069211
Phone Number 8435725990
Fax Number 8435722928

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 264
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2641 SC --

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FAQs about George L Clark

What is the unique provider identifier assigned to George L Clark?

The George L Clark has been issued the NPI (National Provider Identifier) 1013914126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of George L Clark?

The George L Clark is physically situated at 8740 Rivers Ave, in the city of North Charleston, state of SC, with the postal code 294069211.

What is George L Clark's area of expertise and its corresponding taxonomy classification?

The George L Clark's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1013914126 to George L Clark?

The George L Clark received its 1013914126 assignment from the Centers for Medicare & Medicaid Services on 2005-07-05.

When was the information regarding George L Clark most recently updated?

The details pertaining to the George L Clark, including its address, specialty, and other relevant information, were last refreshed on 2008-03-10.

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