Sandra Clark is a Radiography in Water Valley, Mississippi. Sandra Clark practices all healthcare services and medical treatments related to Radiography. The NPI Number for Sandra Clark is 1578692463. The last update date is 2007-07-09.
Sandra Clark's current location address is 139 County Road 379, Water Valley, Mississippi. You can contact this provider via phone number 6625145215. The mailing address for Sandra Clark is 139 County Road 379, Water Valley, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sandra Clark |
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Address | 139 County Road 379, Water Valley, Mississippi |
Phone Number | 6625145215 |
Fax Number | |
Sole Proprietor | Y |
Credentials | RT(R) |
NPI Number Detail
NPI Number | 1578692463 |
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Provider Enumeration Date | 2007-03-05 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 139 County Road 379 |
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City | Water Valley |
State | Mississippi (MS) |
Post Code | 389653607 |
Phone Number | 6625145215 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Radiography |
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Taxonomy | 2471C3402X |
Licence No | MRT2279 |
Definition: A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniq |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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9851011 | MS | -- |
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What is the unique 10-digit identification code issued to Sandra Clark by the Centers for Medicare & Medicaid Services?
The Sandra Clark has been assigned the NPI (National Provider Identifier) 1578692463 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Sandra Clark's facilities are situated?
The facilities of Sandra Clark are physically located at the following address: 139 County Road 379, Water Valley, MS, 389653607.
What is Sandra Clark's area of expertise and its corresponding taxonomy classification?
The Sandra Clark's field of specialization is Radiography, and it falls under the taxonomy code 2471C3402X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sandra Clark receive its 1578692463 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Clark was assigned its 1578692463 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information regarding Sandra Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sandra Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
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