Dr. Matthew Taylor Clark
Allergist & Immunologist
616 Edgefield Rd Suite 180
North Augusta
, South Carolina 29841-1938
Dr. Matthew Taylor Clark
Allergist & Immunologist
616 Edgefield Rd Suite 180
North Augusta
, South Carolina 29841-1938
(803) 279-0708
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Taylor Clark
- 130 Allen Ct
- North Augusta, SC
- Zip : 29860-9782
- Fax : (803) 279-0708
- Phone : (803) 279-7666
Second Address
- Dr. Matthew Taylor Clark
- 616 Edgefield Rd Suite 180
- North Augusta, SC
- Zip : 29841-1938
- Fax : (803) 279-0708
- Phone : (803) 279-7666
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 057156 | GA |
National Provider Identifier
| NPI | 1053433250 |
|---|---|
| Provider Name | Dr. Matthew Taylor Clark |
| First Address | North Augusta, SC 29860-9782 |
| Second Address | North Augusta, SC 29841-1938 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2007 |
| Last Update Date | 29/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053433250 | (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.