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Contact Information

WILLIAM L CLARK, MD
124 SUNSET COURT
WEST COLUMBIA, SC29169
 Phone: 803-931-0077
 Fax: 803-931-0076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
Indicates primary specialty

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

NPI Number 1528057890
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2005
Last updated 01/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 9601270
  • SC License # 21749
  • SC Medicaid GP0623
  • SC Other 125532806 NPI
Hospital affiliation(s)
  • PALMETTO HEALTH BAPTIST - (Acute Care)
    TAYLOR AT MARION ST
    COLUMBIA, SC 29220
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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