DAVID M CLARK, MD AUGUSTA, GA

Contact Information

DAVID M CLARK, MD

818 SAINT SEBASTIAN WAY
SUITE 311
AUGUSTA, GA 30901-2651

Phone: 706-724-3473
Fax: 706-724-3493
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical Cardiac Electrophysiology	207RC0001X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for DAVID M CLARK · (Male)

NPI #	`1225010754`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	11/18/2005
Last updated	06/24/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	GA License # 043579 GA Medicaid 000749801A SC Medicaid G43579 GA Other 597816 BCBS
Hospital affiliation(s)	MCDUFFIE REGIONAL MEDICAL CENTER - (Acute Care) 521 HILL STREET, SW THOMSON, GA 30824 MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS - (Acute Care) 1120 15TH STREET AUGUSTA, GA 30912 UNIVERSITY HOSPITAL - (Acute Care) 1350 WALTON WAY AUGUSTA, GA 30901

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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DAVID M CLARK, MD – NPI #1225010754Clinical Cardiac Electrophysiology

Contact Information

Specialty

Clinical Cardiac Electrophysiology

NPI Profile & details for DAVID M CLARK · (Male)

Reviews for DAVID M CLARK

DAVID M CLARK, MD – NPI #1225010754
Clinical Cardiac Electrophysiology