NPI 1013914126

George L Clark, DO

Practitioner Family Medicine Physician North Charleston, SC

Practice location

Address: 8740 Rivers Ave, North Charleston, SC 29406-9211
Phone: (843) 572-5990
Fax: (843) 572-2928

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0264 (SC)

Other Family Medicine providers in South Carolina →

Registry record

NPI: 1013914126
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2005
Record last updated: 10 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.