David M Clark in Augusta - Clinical Cardiac Electrophysiology
David M Clark - NPI 1225010754
David M Clark is a Clinical Cardiac Electrophysiology in Augusta, Georgia. David M Clark practices all healthcare services and medical treatments related to Clinical Cardiac Electrophysiology. The NPI Number for David M Clark is 1225010754. The last update date is 2020-06-24.
David M Clark's current location address is Po Box 925, Augusta, Georgia. You can contact this provider via phone number 7067248611 and fax number 7067246202. The mailing address for David M Clark is Po Box 925, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David M Clark |
|---|---|
| Address | Po Box 925, Augusta, Georgia |
| Phone Number | 7067248611 |
| Fax Number | 7067246202 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225010754 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2020-06-24 |
Provider Mailing Address Detail
| Address | Po Box 925 |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309030925 |
| Phone Number | 7067248611 |
| Fax Number | 7067246202 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Cardiac Electrophysiology |
|---|---|
| Taxonomy | 207Rc0001X |
| Licence No | 43579 |
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Definition: A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 597816 | GA | BCBS | |
| G43579 | SC | -- | |
| 000749801A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David M Clark?
The David M Clark has been issued the NPI (National Provider Identifier) 1225010754 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 David M Clark?
The David M Clark is physically situated at Po Box 925, in the city of Augusta, state of GA, with the postal code 309030925.
What is the David M Clark's specialty and taxonomy code?
The David M Clark's specialty is Clinical Cardiac Electrophysiology, and the corresponding taxonomy code is 207Rc0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225010754 to David M Clark?
The Centers for Medicare & Medicaid Services originally issued the 1225010754 to David M Clark on 2005-11-18.
As of what date were the details pertaining to David M Clark last refreshed?
The information related to the David M Clark, including its address, specialty, and other relevant details, was last updated on 2020-06-24.