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Contact Information

GREGORY D CLARKE, MD
4522 MACCORKLE AVE, SE
SUITE 3
CHARLESTON, WV25314
 Phone: 304-720-7305
 Fax: 304-720-7310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREGORY D CLARKE · (Male)

NPI # 1568569895
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 10/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 16242
  • WV Medicaid 0110526000
Hospital affiliation(s) Not Available
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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