Hal Clifford Clark (NPI# 1679667174, PAC ID# 4183819360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1679667174 |
| PAC ID by PECOS | 4183819360 |
| Professional Enrollment ID | I20101112001149 |
| Full Name | Hal Clifford Clark |
| Address |
21556 Timberlake Rd Suite D Lynchburg VA 24502-7234 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 21556 Timberlake Rd, Suite D, Lynchburg, VA 24502-7234 |
| Street Address |
21556 TIMBERLAKE RD SUITE D |
| City | LYNCHBURG |
| State | VA |
| Zip | 24502-7234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olubukola Ojuola | Pediatric Medicine | Central Virginia Family Physicians, Inc | 2321 Wards Rd, Lynchburg, VA 24502-2101 |
| Timothy J Wilson | Optometry | Virginia Eye Clinic, Pllc | 2413 Wards Rd, Lynchburg, VA 24502-2103 |
| Cathy Q Anderson | Optometry | Virginia Eye Clinic, Pllc | 2413 Wards Rd, Lynchburg, VA 24502-2103 |
| Mary D Holland | Chiropractic | 7327 Timberlake Rd, Lynchburg, VA 24502-2318 | |
| Jeffrey H Widmeyer | Vascular Surgery | 7626 Timberlake Rd, Lynchburg, VA 24502-2325 | |
| Edward A Bauchou Jr. | Chiropractic | 7724 Timberlake Rd, Lynchburg, VA 24502-2327 | |
| Kendall T Travis | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Shelby Midkiff | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Pradeep Bansal | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Jackson Connell | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Find all physicians in zip 24502 | |||
| City | LYNCHBURG |
| Zip Code | 24502 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LYNCHBURG + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Hal Clifford Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.