MR. DARYL CLARK


Address: 13 Surrey Ct Ste 200, Columbia, SC 29212-3172
Phone: 8035535965

MR. DARYL CLARK (NPI# 1629675236) 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) 1629675236
Entity Type Individual
Full Name MR. DARYL CLARK
Practice Address 13 Surrey Ct Ste 200
Columbia
SC 29212-3172
Practice Telephone 8035535965
Practice Fax Number 8034510328
Mailing Telephone 8035535965
Mailing Fax Number 8034510328
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor SC Other Service Providers

Office Location

Street Address 13 SURREY CT STE 200
City COLUMBIA
State SC
Zip Code 29212-3172

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245758887 Amanda Gail Holloman Pharmacist 6021 St. Andrews Road, Columbia, SC 29212 2017-09-04
1578080180 Alvin Mitchell Jr. Non-emergency Medical Transport (VAN) 10 Breezewood Court, Columbia, SC 29212 2017-08-24
1467975102 Shelby Clemmer Behavior Technician 2 Harbison Way, Columbia, SC 29212 2017-07-25
1982149019 Showntellem Private Vehicle 336 Foxfire Dr, Columbia, SC 29212 2016-12-28
1902215296 Miranda Willis Adult Day Care, LLC Social Worker 5932 Mcmillian Circle, Columbia, SC 29212 2014-08-12
1013342591 Robert Glendon Long Pediatrics 15 Woodpine Ct, Columbia, SC 29212 2013-09-04
1174969638 Melinda Dumas Crenshaw Psychologist 2800 Ashland Rd., Columbia, SC 29212 2013-05-10
1417209982 Physician Services LLC Internal Medicine 214 Lake Front Drive, Physician Services, Cola, SC 29212 2012-10-09
1306131800 Rocky Mountain Holdings LLC Ambulance 6015 Saint Andrews Rd, Columbia, SC 29212 2011-06-13
1023262839 Candace Anne Aguiar Nurse Anesthetist, Certified Registered 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 2008-11-06
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275142630 Jennifer Dawn Feltner Contractor 303 N Stadium Blvd Ste 227, Columbia, MO 65203-1493 2020-07-30
1174184766 Augustine B Nwabueze Contractor 5454 Harpers Farm Rd Apt B3, Columbia, MD 21044-1396 2019-06-24
1770053449 Shaunda L Hamilton Contractor 3109 Jenne Hill Dr, Columbia, MO 65202-4060 2018-11-26
1861923559 Mary Johns Contractor 5130 Durham Rd E, Columbia, MD 21044-1423 2017-03-23
1538513494 Wanda Campbell Contractor 6156 Saint Andrews Rd, Columbia, SC 29212-3147 2016-04-18
1285006015 Racquell Scott Contractor 1612 Marion St Ste 209, Columbia, SC 29201-2939 2015-10-20
1467842443 Universal Screen,inc Contractor 2516 Hospitality Ln, Columbia, TN 38401-0216 2015-01-29
1366853756 Tamara Peterson Contractor 220 Clive St, Columbia, SC 29204-3021 2014-05-19
1962744003 Michael Cleveland Thomas Contractor 5915 Northridge Rd, Columbia, SC 29206-4335 2013-03-26
1861734725 The Far Group LLC Contractor 37 Mallet Hill Rd, Columbia, SC 29223-3221 2013-03-19
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Competitor

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City COLUMBIA
Zip Code 29212

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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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