Matthew Taylor Clark M.D.

NPI 1053433250 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1053433250
Gender Male
Enumeration Date 04/06/2007
Last Updated 04/18/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
616 EDGEFIELD RD
SUITE 180
NORTH AUGUSTA SC, 29841-1938, US
Phone (803) 279-7666
Fax (803) 279-0708
Business Location
616 EDGEFIELD RD
SUITE 180
NORTH AUGUSTA SC, 29841-1938, US
Phone (803) 279-7666
Fax (803) 279-0708
Toxanomy
Taxonomy Code 207K00000X
License State Georgia
License Number 057156
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According to our database, Dr. Matthew Taylor Clark M.D. NPI is 1053433250, taxonomy code is 207K00000X and license number is 057156, license state is located at Georgia. Matthew Taylor Clark M.D. physically located at 616 Edgefield Rd, North Augusta SC, 29841-1938. NPI Number Matthew Taylor Clark M.D. has the Individual type.

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1053433250 NPI number is provided on an as is basis without warranty of any kind. 1053433250 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Taylor Clark M.D. are for informational purposes only.