Mark Anthony Clark in Simpsonville - Pediatrics
Mark Anthony Clark - NPI 1861654873
Mark Anthony Clark is a Pediatrics in Simpsonville, South Carolina. Mark Anthony Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark Anthony Clark is 1861654873. The last update date is 2015-11-05.
Mark Anthony Clark's current location address is 727 Se Main St, Simpsonville, South Carolina. You can contact this provider via phone number 8644546670. The mailing address for Mark Anthony Clark is 727 Se Main St, Simpsonville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Clark |
|---|---|
| Address | 727 Se Main St, Simpsonville, South Carolina |
| Phone Number | 8644546670 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1861654873 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2015-11-05 |
Provider Mailing Address Detail
| Address | 727 Se Main St |
|---|---|
| City | Simpsonville |
| State | South Carolina (SC) |
| Post Code | 296813247 |
| Phone Number | 8644546670 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 4448 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the Mark Anthony Clark's unique identification number?
The Mark Anthony Clark has been assigned the NPI (National Provider Identifier) Number 1861654873 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 Mark Anthony Clark?
The Mark Anthony Clark is situated at 727 Se Main St, in the city of Simpsonville, state of SC, with the zip code 296813247.
What is the Mark Anthony Clark's specialty and taxonomy code?
The Mark Anthony Clark's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
When did the Mark Anthony Clark receive its 1861654873?
The Mark Anthony Clark was issued its 1861654873 on 2008-06-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Mark Anthony Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Anthony Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-05.