NPI 1285078022 · live from the CMS NPI Registry
Aurela Clark, M.D.
Radiology, Diagnostic Radiology in Charleston, SC. National Provider Identifier 1285078022, active.
NPI record
| NPI | 1285078022 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-1414 |
| Mailing address | Po Box 751461, Charlotte, NC 28275 |
| Enumerated | April 23, 2013 |
| Last updated | June 13, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 2085N0904X | 48474 (KY) | |
| Radiology, Diagnostic Radiology | 2085R0202X | 48474 (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | IP1410 (KY) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 52127 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.