Charles H Clark III
Neurosurgeon
800 St Vincents Drive #700
Birmingham
, Alabama 35205
Charles H Clark III
Neurosurgeon
800 St Vincents Drive #700
Birmingham
, Alabama 35205
(205) 930-0746
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Charles H Clark III
- 800 St Vincents Drive #700
- Birmingham, AL
- Zip : 35205
- Fax : (205) 930-0746
- Phone : (205) 933-8981
Second Address
- Charles H Clark III
- 800 St Vincents Drive #700
- Birmingham, AL
- Zip : 35205
- Fax : (205) 930-0746
- Phone : (205) 933-8981
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 9666 | AL |
National Provider Identifier
| NPI | 1033206065 |
|---|---|
| Provider Name | Charles H Clark III |
| First Address | Birmingham, AL 35205 |
| Second Address | Birmingham, AL 35205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 08/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 528201860 | (05) | AL |
| C74544 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.