Clark, William Lloyd

Clark, William Lloyd is an individual health care provider with primary practice located at 124 Sunset Court , West Columbia SC 29169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Clark, William Lloyd can be contacted via phone (803) 931-0077.

Contact Information

Primary practice address
124 Sunset Court West Columbia SC 29169
Phone: (803) 931-0077
Fax: (803) 931-0076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 21749 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21749 South Carolina

Profile Details

NPI number 1528057890
LBN Legal business name Clark, William Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Apr 3rd, 2017 - about 9 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 1528057890 NPPES
South Carolina MEDICAID GP0623
South Carolina Other 125532806

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