Clark, Matthew Taylor

Clark, Matthew Taylor is an individual health care provider with primary practice located at 616 Edgefield Rd Suite 180, North Augusta SC 29841-1938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Clark, Matthew Taylor can be contacted via phone (803) 279-7666.

Contact Information

Primary practice address
616 Edgefield Rd Suite 180 North Augusta SC 29841-1938
Phone: (803) 279-7666
Fax: (803) 279-0708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 057156 Georgia

Profile Details

NPI number 1053433250
LBN Legal business name Clark, Matthew Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053433250 NPPES
South Carolina MEDICAID 1053433250

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