J.Douglas Clark, Md Pc
LBN: J.Douglas Clark, Md Pc
J.Douglas Clark, Md Pc is an health care organization with primary practice located at 2030 North Church Place , Spartanburg SC 29303-2796. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is the primary health care specialty.
J.Douglas Clark, Md Pc can be contacted via phone (864) 582-6858, or through Brown, Darla M via phone (864) 582-6858.
Contact Information
Primary practice address
2030 North Church Place
Spartanburg SC 29303-2796
Phone: (864) 582-6858
Fax: (864) 585-0999
Website:
Authorized official contact:
Name: Brown, Darla M Registered Respiratory Therapist (RRT)
Phone: (864) 582-6858
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19596 | South Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 19596 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 19596 | South Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 19596 | South Carolina |
Profile Details
| NPI number | 1730229808 |
|---|---|
| LBN Legal business name | J.Douglas Clark, Md Pc |
| DBA Doing business as | |
| Authorized official | Brown, Darla M Registered Respiratory Therapist (RRT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jun 11th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730229808 | NPPES |
| South Carolina | Other | 290009501 | RAILROAD |
| South Carolina | Other | 8688 | RAILROAD |
| South Carolina | MEDICAID | T3660 | RAILROAD |
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