| J.douglas Clark, Md Pc | |
|
2030 North Church Place Spartanburg SC 29303-2796 | |
| (864) 582-6858 | |
| (864) 585-0999 |
| Full Name | J.douglas Clark, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2030 North Church Place, Spartanburg, South Carolina |
| Authorized Official Name and Position | Darla M Brown (OFFICE MANAGER) |
| Authorized Official Contact | 8645826858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J.douglas Clark, Md Pc Po Box 4276 Spartanburg SC 29305-4276 Ph: (864) 582-6858 | J.douglas Clark, Md Pc 2030 North Church Place Spartanburg SC 29303-2796 Ph: (864) 582-6858 |
| NPI Number | 1730229808 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 7315195609 |
|---|---|
| Medicare Enrollment ID | O20120911000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730229808 | NPI | - | NPPES |
| 290009501 | Other | SC | RAILROAD |
| 8688 | Other | SC | MBPG'S |
| T3660 | Medicaid | SC |
| Provider Name | John Douglas Clark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194798595 PECOS PAC ID: 8426074238 Enrollment ID: I20051020000955 |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |
Medical Group Of The Carolinas - Family Medicine - Converse Heights Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Heywood Ave, Suite 200, Spartanburg, SC 29302 Phone: 864-573-9595 Fax: 864-585-3752 | |
Piedmont Internal Medicine-east Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307 Phone: 864-342-4000 | |
Upstate Wound Care By Healogics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 Phone: 904-446-3825 | |
Michelin Family Health Center Spartanburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 New Cut Rd, Spartanburg, SC 29303 Phone: 864-599-3050 Fax: 864-599-3051 | |
Proactive Md Tindall Spartanburg Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2273 Hayne St., Spartanburg, SC 29301 Phone: 864-541-0555 Fax: 864-345-7898 | |
Family Physicians Of Spartanburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 John B White Sr Blvd, Spartanburg, SC 29306 Phone: 864-576-9201 |