Clark, George L
Clark, George L is an individual health care provider with primary practice located at 8740 Rivers Ave , North Charleston SC 29406-9211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, George L can be contacted via phone (843) 572-5990.Contact Information
Primary practice address
8740 Rivers Ave
North Charleston SC 29406-9211
Phone: (843) 572-5990
Fax: (843) 572-2928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0264 | South Carolina |
Profile Details
| NPI number | 1013914126 |
|---|---|
| LBN Legal business name | Clark, George L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Mar 10th, 2008 - about 17 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 | 1013914126 | NPPES |
| South Carolina | MEDICAID | 002641 |
Popular Providers
-
Rodriguez-Scott, Maribel
2810 Ashley Phosphate Rd Suite A-6, North Charleston SC 29418-6405 -
Belland, Kris Matthew
3600 Rivers Ave Naval Hospital Charleston, North Charleston SC 29405-7747 -
Bull, Steven F
8780 Rivers Ave Suite 200, Building B, North Charleston SC 29406-9257 -
Dawson, Heather Rose
8761 Dorchester Rd Ste 100 , North Charleston SC 29420-7320 -
Tabor, Marcella Ann
1213 Remount Rd , North Charleston SC 29406-3433 -
Richardson, Katherine Jaudon
4050 Bridge View Dr Ste 600 , North Charleston SC 29405 -
Quinn, Rayford Edwin
2550 Elms Centre Rd , North Charleston SC 29406-9844 -
Johnson, Terry D
2550 Elms Center Rd , North Charleston SC 29406-9844