Mr. Phillip Douglas Clark Sr.
Mr. Phillip Douglas Clark Sr. is a Home Health Aide in Longs, South Carolina. Licensed in South Carolina. Registered with an NPI since 2020.
- Licensed in
- SC
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2126 Highway 9 E Unit 5BLongs, SC 29568-5725
Phone: (843) 353-8664
Fax: (843) 485-0047
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 1264 (SC) |
|---|---|
| Home Health Aide | Taxonomy 374U00000X · Licence 1264 |
Record details
| NPI number | 1053912451 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 3, 2020 |
| Last updated in NPPES | November 3, 2020 |
| Certification date | November 3, 2020 |