person
Chad Michael Clark, MD
Diagnostic Radiology Physician in Gastonia, North Carolina
NPI 1275517831

Chad Michael Clark is a Diagnostic Radiology Physician based in Reno, NC and is specialized in Diagnostic Radiology. Chad Michael Clark practices in Gastonia, NC and has the professional credentials of MD. The NPI Number for Chad Michael Clark is 1275517831 and holds a License No. 200400199 (North Carolina).

The current practice location address for Chad Michael Clark is 620 Summit Crossing Pl, Gastonia, NC and can be reached out via phone at 704-867-8021 and via fax at 704-864-4606.

Location: 620 Summit Crossing Pl, Gastonia, NC, 89510-7055
person
Provider Profile Details
NPI Number
1275517831
Provider Name
Chad Michael Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 Summit Crossing Pl, Gastonia, NC, 89510-7055
Phone Number
704-867-8021
Fax Number
704-864-4606
Provider Enumeration Date
12/06/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1377R 01 BLUE CROSS BLUE SHIELD
N0019C 05 SC
7095608 01 AETNA PPO
891377R 05 NC
P00183056 01 RAILROAD MEDICARE
804966 01 PARTNERS
D4989 01 MEDCOST
3616084 01 AETNA HMO
560988142 01 UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
620 Summit Crossing Pl
City
State
Zip
28054-2176
Phone Number
704-867-8021
Fax Number
704-864-4606
person
Provider Business Mailing Address Details
Address
620 Summit Crossing Pl
City
State
Zip
28054-2176
Phone Number
704-867-8021
Fax Number
704-864-4606
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
2004-00199 (North Carolina)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
200400199 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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