David Charles Clark in Charlotte - Diagnostic Radiology
David Charles Clark - NPI 1720079767
David Charles Clark is a Diagnostic Radiology in Charlotte, North Carolina. David Charles Clark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David Charles Clark is 1720079767. The last update date is 2023-03-10.
David Charles Clark's current location address is Po Box 63112, Charlotte, North Carolina. You can contact this provider via phone number 3362749617 and fax number 3364822177. The mailing address for David Charles Clark is Po Box 63112, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Charles Clark |
|---|---|
| Address | Po Box 63112, Charlotte, North Carolina |
| Phone Number | 3362749617 |
| Fax Number | 3364822177 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720079767 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2023-03-10 |
Provider Mailing Address Detail
| Address | Po Box 63112 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282633112 |
| Phone Number | 3362749617 |
| Fax Number | 3364822177 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 39405 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18290 | NC | PARTNERS | |
| 1600796 | NC | UNITED HEALTHCARE | |
| 8922555 | NC | -- | |
| 22555 | NC | BLUE CROSS BLUE SHIELD | |
| 70507 | NC | MEDCOST | |
| 300050409 | NC | RAILROAD MEDICARE | |
| 1720079767 | VA | VIRGINIA MEDICAID |
Post Comment/ Review Below
What is the David Charles Clark's unique identification number?
The David Charles Clark has been assigned the NPI (National Provider Identifier) Number 1720079767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of David Charles Clark?
The David Charles Clark is situated at Po Box 63112, in the city of Charlotte, state of NC, with the zip code 282633112.
What is David Charles Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Charles Clark is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
When did David Charles Clark receive its 1720079767 assignment?
The David Charles Clark was assigned its 1720079767 on 2005-10-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to David Charles Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Charles Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-10.
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