Jernigan, W. Clark

Jernigan, W. Clark is an individual health care provider with primary practice located at 3150 Highway 153 , Piedmont SC 29673-9498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jernigan, W. Clark can be contacted via phone (864) 295-1231.

Contact Information

Primary practice address
3150 Highway 153 Piedmont SC 29673-9498
Phone: (864) 295-1231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10939 South Carolina

Profile Details

NPI number 1003873779
LBN Legal business name Jernigan, W. Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 3rd, 2022 - 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 1003873779 NPPES
South Carolina MEDICAID 109395
South Carolina Other 8157

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