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Mr. Phillip Douglas Clark Sr.

Home Health Aide

NPI: 1053912451Longs, South Carolina, 29568(843) 353-8664Male

About Mr. Phillip Douglas Clark Sr.

Mr. Phillip Douglas Clark Sr. is a male healthcare professional specializing in Home Health Aide, registered under National Provider Identifier (NPI) number 1053912451. Their primary practice is located at 2126 HIGHWAY 9 E UNIT 5B, Longs, South Carolina 29568.

Patients can reach the office at (843) 353-8664. Mr. Phillip Douglas Clark Sr. has been NPI-registered since 2020.

Doctor Details

Identity & Credentials

NPI Number
1053912451
Entity Type
Individual
First Name
Phillip
Last Name
Clark
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
2126 HIGHWAY 9 E UNIT 5B
City
Longs
State
South Carolina
ZIP
29568-5725
Country
United States
Phone
(843) 353-8664
Fax
(843) 485-0047

Specialty & Taxonomy

Primary Specialty
Home Health Aide
Classification
Home Health Aide
Taxonomy Code
374U00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
3988 TYBRE CT
City
LITTLE RIVER
State
SC
ZIP
295668483

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mr. Phillip Douglas Clark Sr.'s NPI number?
Mr. Phillip Douglas Clark Sr.'s National Provider Identifier (NPI) is 1053912451. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Phillip Douglas Clark Sr. specialize in?
Mr. Phillip Douglas Clark Sr. specializes in Home Health Aide.
Where is Mr. Phillip Douglas Clark Sr. located?
Mr. Phillip Douglas Clark Sr. practices at 2126 HIGHWAY 9 E UNIT 5B, Longs, South Carolina 29568. You can reach them by phone at (843) 353-8664.
Does Mr. Phillip Douglas Clark Sr. accept Medicare?
Based on available data, Mr. Phillip Douglas Clark Sr. is not currently enrolled in the Medicare program.
Does Mr. Phillip Douglas Clark Sr. offer telehealth or virtual visits?
Mr. Phillip Douglas Clark Sr. does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Phillip Douglas Clark Sr. is 1053912451.