Dr. W. Clark Jernigan
Orthopaedic Surgeon
3150 Highway 153
Piedmont
, South Carolina 29673-9498
Dr. W. Clark Jernigan
Orthopaedic Surgeon
3150 Highway 153
Piedmont
, South Carolina 29673-9498
(864) 295-0095
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. W. Clark Jernigan
- 3150 Highway 153
- Piedmont, SC
- Zip : 29673-9498
- Fax : (864) 295-0095
- Phone : (864) 295-1231
Second Address
- Dr. W. Clark Jernigan
- 3150 Highway 153
- Piedmont, SC
- Zip : 29673-9498
- Phone : (864) 295-1231
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 10939 | SC |
National Provider Identifier
| NPI | 1003873779 |
|---|---|
| Provider Name | Dr. W. Clark Jernigan |
| First Address | Piedmont, SC 29673-9498 |
| Second Address | Piedmont, SC 29673-9498 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 17/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 109395 | (05) | SC |
| 8157 | MEDICARE PTAN (01) | SC |
| D99376 | (02) | 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.