NPI 1568569895 · live from the CMS NPI Registry
Gregory D Clarke, M.D.
Emergency Medicine in Charleston, WV. National Provider Identifier 1568569895, active.
NPI record
| NPI | 1568569895 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 4522 Maccorkle Ave, Se, Suite 3, Charleston, WV 25314 |
| Practice phone | 304-720-7305 |
| Mailing address | Po Box 7000, Morgantown, WV 26507 |
| Enumerated | September 20, 2006 |
| Last updated | October 8, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 16242 (WV) |
| Emergency Medicine primary | 207P00000X | 16242 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.