NPI 1053433250

Matthew Taylor Clark, MD

Practitioner Allergy & Immunology Physician North Augusta, SC

Practice location

Address: 616 Edgefield Rd Suite 180, North Augusta, SC 29841-1938
Phone: (803) 279-7666
Fax: (803) 279-0708
Mailing address: 130 Allen CT, North Augusta, SC 29860-9782

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 057156 (GA)

Other Allergy & Immunology providers in South Carolina →

Registry record

NPI: 1053433250
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2007
Record last updated: 29 Jul 2020

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.