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Individual

DR. WILLIAM P CLARE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2270 ASHLEY CROSSING DR, STE 170, CHAS, SC 29414
(843) 763-3700
(843) 763-3714
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17425
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110164415
RAILROAD MEDICARE
SC
01
110231394
RAILROAD MEDICARE
SC
05
144251
SC
01
P00727205
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/27/2006
Last updated
11/11/2020
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