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Contact Information

HAL C CLARK, MD
21556 TIMBERLAKE RD
SUITE D
LYNCHBURG, VA24502
 Phone: 434-239-8104
 Fax: 434-239-4312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HAL C CLARK · (Male)

NPI # 1679667174
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0101040584
  • VA Medicaid 006049711
  • VA Other 035241 ANTHEM
  • VA Other 110058961 RAILROAD MEDICARE
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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