Clark, Andrew D

Clark, Andrew D is an individual health care provider with primary practice located at 160 Perpetual Sq , Anderson SC 29621-1713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Clark, Andrew D can be contacted via phone (864) 512-5880.

Contact Information

Primary practice address
160 Perpetual Sq Anderson SC 29621-1713
Phone: (864) 512-5880
Fax: (864) 375-1347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2010-01153 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29173 South Carolina

Profile Details

NPI number 1699798504
LBN Legal business name Clark, Andrew D
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699798504 NPPES
South Carolina MEDICAID 291730
South Carolina MEDICAID 003112203A

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