Moore, Clark D

Moore, Clark D is an sole proprietor health care provider with primary practice located at 191 Centre South Blvd Suite 10, Aiken SC 29803-6313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moore, Clark D can be contacted via phone (803) 335-2281.

Contact Information

Primary practice address
191 Centre South Blvd Suite 10 Aiken SC 29803-6313
Phone: (803) 335-2281
Fax: (803) 937-1706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10145 South Carolina

Profile Details

NPI number 1417928284
LBN Legal business name Moore, Clark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Jan 6th, 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 1417928284 NPPES
South Carolina MEDICAID 101455
South Carolina Other 57-0724225

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