IndividualActive
Matthew Clark, M.D.
NPI 1053433250 · Allergy & Immunology Physician · North Augusta, SC
Provider details
- NPI number
- 1053433250
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 057156 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
616 Edgefield Rd
Suite 180
North Augusta, SC 29841-1938
Phone: (803) 279-7666
Fax: (803) 279-0708
Approximate (ZIP-level) locationGet directions
Mailing address
130 Allen Ct
North Augusta, SC 29860-9782
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-07-29
- Certified
- 2020-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.