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David Glenn Clark, MD
Neurology Physician in Charleston, South Carolina
NPI 1790728459

David Glenn Clark is a Neurology Physician based in Charlotte, SC and is specialized in Neurology. David Glenn Clark practices in Charleston, SC and has the professional credentials of MD. The NPI Number for David Glenn Clark is 1790728459 and holds a License No. 21639 (South Carolina).

The current practice location address for David Glenn Clark is 171 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-1414. You can also correspond with David Glenn Clark through the mailing address at PO BOX 751461, CHARLOTTE, NC - 28275-1461 (mailing address contact number: 843-792-6200).

Location: 171 Ashley Ave, Charleston, SC, 28275-1461
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Provider Profile Details
NPI Number
1790728459
Provider Name
David Glenn Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
171 Ashley Ave, Charleston, SC, 28275-1461
Phone Number
843-792-1414
Fax Number
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051529988 01 AL BLUE CROSS
051529987 01 AL BLUE CROSS
009932389 05 AL
009932394 05 AL
G82404 01 AL VIVA
P00313093 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
State
Zip
29425-8908
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 751461
City
State
Zip
28275-1461
Phone Number
843-792-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
21639 (Alabama)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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