DR. PAUL DECLERCK MD NPI 1558321273

NPI Information

NPI: 1558321273
Provider Name: DR. PAUL DECLERCK, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
800 PELHAM RD
GREENVILLE, SC
ZIP 29615
Phone: (864) 234-5800
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DR. Paul Declerck, MD is a family medicine in Greenville, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Paul Declerck, MD NPI is 1558321273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 PELHAM RD
GREENVILLE, SC
ZIP 29615-300
Phone: (864) 234-5800

The enumeration date for this NPI number is 3/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		26803	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C81198	MEDICARE UPIN
2	268034	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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