Deandra L Clark
MD | Pediatrics | Female
Deandra L Clark, MD is a Anderson, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Deandra L Clark is
500 N Fant St, Suite C, Anderson, South Carolina - 29621-5702. She can be contacted on phone at
864-225-7798 and fax number 864-512-3952.
Deandra L Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Deandra L Clark is
1356315428 which was assigned by NPPES on 15 Feb, 2006 and it was last updated on 27 Apr, 2010.
Deandra L Clark license number is
TL32184 for Pediatrics (208000000X) in South Carolina.
Deandra L Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Deandra L Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Deandra L Clark |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Deandra L Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 500 N Fant St, Suite C
Anderson, SC, 29621-5702
United States |
|---|
| Phone Number : | 864-225-7798 |
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| Fax Number : | 864-512-3952 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356315428 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Feb, 2006 |
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| Last Updated On : | 27 Apr, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deandra L Clark are as mentioned. Primary taxonomy code for Deandra L Clark, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | ME76610 | FL |
| 208000000X | Pediatrics | Yes | TL32184 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Deandra L Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 258609600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 500 N Fant St, Suite C
Anderson, SC, 29621-5702
United States |
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| Phone Number : | 864-225-7798 |
|---|
| Fax Number : | 864-512-3952 |
|---|
Business Location:
Patients can refer following map for directions to
Deandra L Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.