John Douglas Clark in Spartanburg - Pulmonary Disease

John Douglas Clark - NPI 1194798595

John Douglas Clark is a Pulmonary Disease in Spartanburg, South Carolina. John Douglas Clark practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for John Douglas Clark is 1194798595. The last update date is 2015-12-28.

John Douglas Clark's current location address is Po Box 4276, Spartanburg, South Carolina. You can contact this provider via phone number 8645826858 and fax number 8645850999. The mailing address for John Douglas Clark is Po Box 4276, Spartanburg, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John Douglas Clark
Address Po Box 4276, Spartanburg, South Carolina
Phone Number 8645826858
Fax Number 8645850999
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1194798595
Provider Enumeration Date 2006-02-08
Last Updated Date 2015-12-28

Provider Mailing Address Detail

Address Po Box 4276
City Spartanburg
State South Carolina (SC)
Post Code 29305
Phone Number 8645826858
Fax Number 8645850999

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No 19596
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T36609 SC --
290011227 RAILROAD
290009501 RAILROAD
8688 SC MBPG'S

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FAQs about John Douglas Clark

What is the unique identification code assigned to John Douglas Clark by the Centers for Medicare & Medicaid Services?

The John Douglas Clark has been issued the NPI (National Provider Identifier) 1194798595. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where John Douglas Clark's facilities are geographically located?

The facilities of John Douglas Clark are physically situated at the following location: Po Box 4276, Spartanburg, SC, 29305.

What is the John Douglas Clark's specialty and taxonomy code?

The John Douglas Clark's specialty is Pulmonary Disease, and the corresponding taxonomy code is 207Rp1001X.

On what date did John Douglas Clark receive its 1194798595 assignment from the Centers for Medicare & Medicaid Services?

The John Douglas Clark was assigned its 1194798595 on 2006-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the John Douglas Clark's information last updated?

The John Douglas Clark's information was last updated on 2015-12-28.

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