Clark, David M

Clark, David M is an individual health care provider with primary practice located at 818 Saint Sebastian Way Suite 311, Augusta GA 30901-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Clark, David M can be contacted via phone (706) 724-3473.

Contact Information

Primary practice address
818 Saint Sebastian Way Suite 311 Augusta GA 30901-2651
Phone: (706) 724-3473
Fax: (706) 724-3493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 043579 Georgia

Profile Details

NPI number 1225010754
LBN Legal business name Clark, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jun 24th, 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 1225010754 NPPES
Georgia Other 597816 BCBS
Georgia MEDICAID G43579 BCBS
Georgia MEDICAID 000749801A BCBS

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