GEORGE L CLARK


Address: 8740 Rivers Ave, North Charleston, SC 29406-9211
Phone: 8435725990

GEORGE L CLARK (NPI# 1013914126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013914126
Entity Type Individual
Full Name GEORGE L CLARK
Credential D.O.
Practice Address 8740 Rivers Ave
North Charleston
SC 29406-9211
Practice Telephone 8435725990
Practice Fax Number 8435722928
Mailing Telephone 8435725990
Mailing Fax Number 8435722928
Enumeration Date 2005-07-05
Last Update Date 2008-03-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 0264 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 002641 05

Other Providers GEORGE CLARK

NPI Name Taxonomy Address Enumeration
1083099279 George Clark Assisted Living Facility P13 Avon Dr, East Windsor Nj, NJ 08520 2015-07-29
1285900746 George Wesley Clark Surgery 2049 Snapdragon Ln, Alpine, CA 91901-1304 2012-03-29
1699007807 George James Clark Pharmacist 9338 215th Pl, Queens Village, NY 11428-1712 2010-02-12
1851542534 George Warren Clark Social Worker 6750 Lombardy Dr, Chelsea, MI 48118-9586 2008-10-01
1043320773 George R Clark Dentist 610 Old Campbell Rd, Suite 116, Richardson, TX 75080 2006-08-30
1700890415 George B Clark Dentist 430 Kenhorst Blvd, Reading, PA 19611-1830 2006-07-28
1780619403 George Barnes Clark II Registered Nurse 4301 West 7th St, Code 112lr, Little Rock, AR 72205-0000 2006-07-11
1750927075 George Wesley Clark Technician, Other 3647 Highway 39, Klamath Falls, OR 97603-2612 2019-11-21
1801452040 George Clark Social Worker 105 Merrick St, Worcester, MA 01609-1937 2019-05-14
1780968776 George Clark Pharmacist 21828 23 Mile Rd, Macomb, MI 48042-4422 2011-10-07

Office Location

Street Address 8740 RIVERS AVE
City NORTH CHARLESTON
State SC
Zip Code 29406-9211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740738350 Jessie Ilg Physician Assistant 8740 Rivers Ave, North Charleston, SC 29406-9211 2016-09-13
1861864431 Stefanie Ann Mauney Physician Assistant 8740 Rivers Ave, North Charleston, SC 29406-9211 2015-10-22
1043617327 Laura Cain Physician Assistant 8740 Rivers Ave, North Charleston, SC 29406-9211 2014-12-02
1881026912 Health First Pharmacist 8740 Rivers Ave, North Charleston, SC 29406-9211 2013-07-31
1649524455 Tyler Martin Physician Assistant 8740 Rivers Ave, North Charleston, SC 29406-9211 2012-10-31
1720358070 Katie Gardner Nickerson Physician Assistant 8740 Rivers Ave, North Charleston, SC 29406-9211 2012-01-04
1811165368 Healthfirst Rapid Care Clinic/Center 8740 Rivers Ave, North Charleston, SC 29406-9211 2008-02-19
1649461138 Henry B Spradlin Physician Assistant 8740 Rivers Ave, North Charleston, SC 29406-9211 2007-08-08
1306999230 Richard L Bowen Family Medicine 8740 Rivers Ave, North Charleston, SC 29406-9211 2007-01-22
1588762835 Tracie Warren Physician Assistant 8740 Rivers Ave, North Charleston, SC 29406-9211 2006-09-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023622289 Sara Desmarais Physical Therapist 2760 Tricom St, North Charleston, SC 29406 2020-09-04
1669036448 Pink Elephant Autism Project In Home Supportive Care 8738 Red Oak Drive, Charleston, SC 29406 2019-04-26
1083171185 Medical University Hospital Authority Pharmacy 2250 Mall Drive, North Charleston, SC 29406 2019-02-25
1336627371 Truesdale Medical Center LLC Internal Medicine 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 2018-08-01
1164914552 Amanda R Dipiazza Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 2018-06-01
1982148490 Trident Medical Center Psychiatric Hospital 9225 C Medical Plaza Drive, Charleston, SC 29406 2016-12-19
1649726217 First Choice Counseling Services, LLC Community/Behavioral Health 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 2016-09-01
1821443896 Liberty Doctors, LLC Family Medicine 9275 D Medical Plaza Dr., North Charleston, SC 29406 2016-04-27
1174984645 Ashia George Developmental Therapist 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 2016-03-11
1023488582 Etta Smith Counselor 2470 Mall Dr Unit Cd, North Charleston, SC 29406 2015-09-28
Find all providers in zip 29406

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578115911 Whole Heart Family Medicine Family Medicine 2891 Tricom St Ste C, North Charleston, SC 29406-7110 2019-07-16
1821443896 Liberty Doctors, LLC Family Medicine 9275 D Medical Plaza Dr., North Charleston, SC 29406 2016-04-27
1366816977 Paladina Health, LLC Family Medicine 5401 Netherby Rd Ste 101, North Charleston, SC 29420-7363 2015-11-19
1235434713 Julie All Med Services Inc Family Medicine 1455 Remount Rd Ste I, North Charleston, SC 29406-3355 2011-01-14
1760642821 Laura Lee Smith Family Medicine 1670 Dry Dock Ave, Building 10: Harvest Free Medical Clinic, North Charleston, SC 29405-2114 2008-06-12
1306033634 Katherine Jaudon Richardson Family Medicine 4050 Bridge View Dr Ste 600, North Charleston, SC 29405 2007-10-01
1033316641 Julie Fritz Casasco Family Medicine 3337 Business Cir, North Charleston, SC 29418-7415 2007-06-27
1528288560 Stela Susac-pavic Family Medicine 8983 University Blvd # 104-334, North Charleston, SC 29406-7102 2007-05-01
1013087949 Christopher James Raispis Family Medicine 1670 Drydock Ave, Bldg 10a Detyens Medical Center, North Charleston, SC 29405 2006-11-08
1548344096 Kenneth Phylex Jones Family Medicine 3870 Leeds Avenue, Suite 114, North Charleston, SC 29405-7493 2006-10-24
Find all providers in NORTH CHARLESTON

Competitor

Search similar providers

City NORTH CHARLESTON
Zip Code 29406

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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