J.DOUGLAS CLARK MD PC NPI 1730229808

NPI Information

  • NPI: 1730229808
  • Provider Name: J.DOUGLAS CLARK, MD PC
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 2030 NORTH CHURCH PLACE
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 582-6858

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NPI Details

J.DOUGLAS CLARK, MD PC is a critical care medicine internal medicine in Spartanburg, SC. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. J.DOUGLAS CLARK, MD PC NPI is 1730229808. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2030 NORTH CHURCH PLACE
SPARTANBURG, SC
ZIP 29303-796
Phone: (864) 582-6858
Fax: (864) 585-0999

The provider's authorized official is Darla M Brown .
The authorized official title is Office Manager and has the following contact phone number (864) 582-6858.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 6/11/2012.

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
1207RP1001XInternal MedicinePulmonary Disease19596SOUTH CAROLINANo
2207RS0012XInternal MedicineSleep Medicine19596SOUTH CAROLINANo
3207R00000XInternal Medicine19596SOUTH CAROLINANo
4207RC0200XInternal MedicineCritical Care Medicine19596SOUTH CAROLINAYes

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
1A98614MEDICARE UPINSOUTH CAROLINA
28688OTHERSOUTH CAROLINAMBPG'S
3290009501OTHERSOUTH CAROLINARAILROAD
4T3660MEDICAIDSOUTH CAROLINA
5A986140281MEDICARE PINSOUTH 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: 11/21/2025

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