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John Joseph Clark, MD
Student in an Organized Health Care Education/Training Program in Orangeburg, South Carolina
NPI 1538859269

John Joseph Clark is a Student in an Organized Health Care Education/Training Program based in Orangeburg, SC. John Joseph Clark practices in Orangeburg, SC and has the professional credentials of MD. The NPI Number for John Joseph Clark is 1538859269 and holds a License No. (South Carolina).

The current practice location address for John Joseph Clark is 910 Cook Rd, Orangeburg, SC and can be reached out via phone at 803-536-4900.

Location: 910 Cook Rd, Orangeburg, SC, 29118-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538859269
Provider Name
John Joseph Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
910 Cook Rd, Orangeburg, SC, 29118-2124
Phone Number
803-536-4900
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
910 Cook Rd
City
Orangeburg
State
South Carolina
Zip
29118-2124
Phone Number
803-536-4900
Fax Number
person
Provider Business Mailing Address Details
Address
910 Cook Rd
City
Orangeburg
State
South Carolina
Zip
29118-2124
Phone Number
803-536-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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