Organization
AUGUSTA CARDIOLOGY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M CLARK II MD (OFFICER)
(706) 724-3473
Entity
Organization
Contact information
Practice address
818 SAINT SEBASTIAN WAY STE 311, AUGUSTA, GA 30901-2653
(706) 724-3473
(706) 724-3493
Mailing address
818 SAINT SEBASTIAN WAY STE 311, AUGUSTA, GA 30901-2653
(706) 724-3473
(706) 724-3493
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA513
—
SC
Enumeration date
11/20/2006
Last updated
02/11/2008
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