Clark, James
Clark, James is an sole proprietor health care provider with primary practice located at 1409 Satilla Blvd , Waycross GA 31501-4322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Clark, James can be contacted via phone (912) 816-3455.Contact Information
Primary practice address
1409 Satilla Blvd
Waycross GA 31501-4322
Phone: (912) 816-3455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 128756 | Montana |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 38204 | Georgia |
Profile Details
| NPI number | 1154954758 |
|---|---|
| LBN Legal business name | Clark, James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2020 |
| Last updated | Aug 7th, 2023 - about 2 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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