National Provider Identifier Database

JOHN D CLARK, MD – NPI #1194798595
Critical Care Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

JOHN D CLARK, MD
2030 NORTH CHURCH PLACE
SPARTANBURG, SC29303
Phone: 864-582-6858
Fax: 864-585-0999
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207RC0200X
Internal Medicine 207R00000X
Pulmonary Disease 207RP1001X
Sleep Medicine 207RS0012X

* Indicates primary specialty

NPI Profile & details for JOHN D CLARK

NPI Number 1194798595
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 12/28/2015 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • SC License #: 19596
  • SC Medicaid: T36609
  • Other: 290009501 RAILROAD
  • Other: 290011227 RAILROAD
  • SC Other: 8688 MBPG'S
Hospital affiliation n/a

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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