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Contact Information

STANLEY D CLARKE, MD
1110 S JACKSON HWY
SHEFFIELD, AL35660-5747
 Phone: 256-383-5211
 Fax: 256-381-1517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

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

NPI # 1104829688
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2005
Last updated 05/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00019049
  • AL Medicaid 009973900
  • AL Medicaid 051550973
  • AL Medicaid 103086
  • AL Medicaid 103413
  • AL Medicaid 529909740
  • AL Other 051504899 AL BCBS
  • AL Other 051504900 AL BCBS
  • AL Other 515-45255 BCBS AL
  • AL Other 515-45256 BCBS AL
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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