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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN DOUGLAS CLARK, MD

Active Sole Proprietor

DR. JOHN DOUGLAS CLARK, MD is a Critical Care Medicine healthcare provider located in SPARTANBURG, South Carolina. NPI 1194798595 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · SPARTANBURG, SC

Registration Details

NPI Number
1194798595
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2006 (20.532749012726 yrs)
Last Updated
Dec 28, 2015
Licenses
19596 (SC)
19596 (SC)
19596 (SC)
19596 (SC)
Sole Proprietor
Yes

Practice Information

Address
2030 NORTH CHURCH PLACE
SPARTANBURG, SC, 29303
Browse SC providers · Browse ZIP 29303
Phone
8645826858
Fax
8645850999
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Internal Medicine
Additional Specialty
Critical Care Medicine
Additional Specialty
Sports Medicine (IM)

Other Critical Care Medicine Providers in SPARTANBURG, SC

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.