Clark, Barry Lee

Clark, Barry Lee is an sole proprietor health care provider with primary practice located at 700 Medical Park Dr , Hartsville SC 29550-4765. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Clark, Barry Lee can be contacted via phone (843) 383-3742.

Contact Information

Primary practice address
700 Medical Park Dr Hartsville SC 29550-4765
Phone: (843) 383-3742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 833 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 26229 Mississippi
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 26229 Mississippi

Profile Details

NPI number 1891795985
LBN Legal business name Clark, Barry Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Oct 30th, 2020 - about 4 years ago

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 1891795985 NPPES
Mississippi MEDICAID 02537316

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