Dr. David M Clark
Clinical Cardiac Electrophysiologist
818 Saint Sebastian Way Suite 311
Augusta
, Georgia 30901-2651
Dr. David M Clark
Clinical Cardiac Electrophysiologist
818 Saint Sebastian Way Suite 311
Augusta
, Georgia 30901-2651
(706) 724-6202
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About
Features
Specialties
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Dr. David M Clark
- Po Box 925
- Augusta, GA
- Zip : 30903-0925
- Fax : (706) 724-6202
- Phone : (706) 724-8611
Second Address
- Dr. David M Clark
- 818 Saint Sebastian Way Suite 311
- Augusta, GA
- Zip : 30901-2651
- Fax : (706) 724-3493
- Phone : (706) 724-3473
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 043579 | GA |
National Provider Identifier
| NPI | 1225010754 |
|---|---|
| Provider Name | Dr. David M Clark |
| First Address | Augusta, GA 30903-0925 |
| Second Address | Augusta, GA 30901-2651 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2005 |
| Last Update Date | 24/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000749801A | (05) | GA |
| 597816 | BCBS (01) | GA |
| F30495 | (02) | GA |
| G43579 | (05) | SC |
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.