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Contact Information

BARRY L CLARK, DO
700 MEDICAL PARK DR
HARTSVILLE, SC29550-4765
 Phone: 843-383-3742
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BARRY L CLARK · (Male)

NPI # 1891795985
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/29/2005
Last updated 10/30/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 26229
  • SC License # 833
  • MS Medicaid 02537316
Hospital affiliation(s)
  • CAROLINA PINES REGIONAL MEDICAL CENTER - (Acute Care)
    1304 W BOBO NEWSOM HWY
    HARTSVILLE, SC 29550
  • CAROLINAS HOSPITAL SYSTEM - (Acute Care)
    805 PAMPLICO HWY BOX 100550
    FLORENCE, SC 29505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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