David Glenn Clark in Charlotte - Neurology
David Glenn Clark - NPI 1790728459
David Glenn Clark is a Neurology in Charlotte, North Carolina. David Glenn Clark practices all healthcare services and medical treatments related to Neurology. The NPI Number for David Glenn Clark is 1790728459. The last update date is 2014-06-27.
David Glenn Clark's current location address is Po Box 751461, Charlotte, North Carolina. You can contact this provider via phone number 8437926200. The mailing address for David Glenn Clark is Po Box 751461, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Glenn Clark |
|---|---|
| Address | Po Box 751461, Charlotte, North Carolina |
| Phone Number | 8437926200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790728459 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2014-06-27 |
Provider Mailing Address Detail
| Address | Po Box 751461 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282751461 |
| Phone Number | 8437926200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 21639 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51529988 | AL | BLUE CROSS | |
| 51529987 | AL | BLUE CROSS | |
| 9932389 | AL | -- | |
| 9932394 | AL | -- | |
| G82404 | AL | VIVA | |
| P00313093 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Glenn Clark by the Centers for Medicare & Medicaid Services?
The David Glenn Clark has been issued the NPI (National Provider Identifier) 1790728459 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Glenn Clark?
The David Glenn Clark is physically situated at Po Box 751461, in the city of Charlotte, state of NC, with the postal code 282751461.
What is the David Glenn Clark's specialty and taxonomy code?
The David Glenn Clark's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
When did the David Glenn Clark receive its 1790728459?
The David Glenn Clark was issued its 1790728459 on 2006-06-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to David Glenn Clark last refreshed?
The information related to the David Glenn Clark, including its address, specialty, and other relevant details, was last updated on 2014-06-27.