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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891795985 | NPPES |
Mississippi | MEDICAID | 02537316 |
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