Clark, Timothy J

Clark, Timothy J is an individual health care provider with primary practice located at 2101 W Arlington Blvd Ste 210 , Greenville NC 27834-5758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Clark, Timothy J can be contacted via phone (252) 752-5000.

Contact Information

Primary practice address
2101 W Arlington Blvd Ste 210 Greenville NC 27834-5758
Phone: (252) 752-5000
Fax: (252) 931-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0028742 North Carolina

Profile Details

NPI number 1225019862
LBN Legal business name Clark, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Sep 1st, 2016 - about 8 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 1225019862 NPPES
North Carolina MEDICAID 8922739
North Carolina Other 22739

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