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SHAWN CLARK M.D. P.C. NPI 1972931533


NPI Information

NPI: 1972931533
Provider Name: SHAWN CLARK, M.D., P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6701 AIRPORT BLVD
#C138
MOBILE, AL
ZIP 36608
Phone: (251) 295-2579
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SHAWN CLARK, M.D., P.C. is a specialist in Mobile, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SHAWN CLARK, M.D., P.C. NPI is 1972931533. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6701 AIRPORT BLVD
#C138
MOBILE, AL
ZIP 36608-705
Phone: (251) 295-2579

The provider's authorized official is Shawn Broxton Clark .
The authorized official title is Physician and has the following contact phone number (251) 295-2579.

The enumeration date for this NPI number is 10/17/2013 and was last updated on 10/17/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical143ALABAMANo
2174400000XSpecialist23993ALABAMAYes

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: 4/28/2024

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