ERIC B CLARK JR. (NPI# 1912496282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912496282 |
| Entity Type | Individual |
| Full Name | ERIC B CLARK JR. |
| Credential | DC,CCMA |
| Practice Address |
10725 Abercorn St Apt 143 Savannah GA 31419-1441 |
| Practice Telephone | 9129960961 |
| Mailing Telephone | 9129960961 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR009974 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | CHIR009974 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457917767 | Eric Clark | Dentist | 2597 Schoenersville Rd # A&301b, Bethlehem, PA 18017-7325 | 2019-05-13 |
| 1558429241 | Eric Walter Clark | Family Medicine | Mtsu Student Health, 1500 Greenland Ave Box 237, Murfreesboro, TN 37132-0001 | 2006-12-05 |
| 1780751453 | Eric M Clark | Chiropractor | 500 San Juan St, Trinidad, CO 81082-2517 | 2006-11-29 |
| 1679173710 | Eric Deon Clark | Counselor | 433 Turk St, San Francisco, CA 94102-3329 | 2020-10-28 |
| 1013553494 | Eric Christopher Clark | Registered Nurse | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2019-11-21 |
| 1043777204 | Eric Clark | Social Worker | 2711 Colonial Dr, Columbia, SC 29203-6818 | 2019-02-25 |
| 1740752260 | Eric Delancey Clark | Social Worker | 12 Southern Ave, Boston, MA 02124-2012 | 2018-12-21 |
| 1508370610 | Eric Robert Clark | Social Worker | 1131 Broadway St, Buffalo, NY 14212-1501 | 2017-11-28 |
| 1588194583 | Eric Vinceson Clark Sr. | Counselor | 404 Hearne Ave, Shreveport, LA 71103-2022 | 2017-06-13 |
| 1295283430 | Eric Charles Clark | Social Worker | 1608 Lake St, Kalamazoo, MI 49001-3170 | 2016-09-16 |
| Street Address |
10725 ABERCORN ST APT 143 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710476098 | Clark Chiropractic and Wellness Care, LLC | Chiropractor | 10725 Abercorn St Apt 143, Savannah, GA 31419-1441 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820547 | Layton Dexter Truax Jr. | Chiropractor | 400 Mall Blvd # 1c, Savannah, GA 31406-4861 | 2020-01-09 |
| 1508323395 | Kelsey Mcginnis | Chiropractor | 403 E Harvey Dr, Savannah, MO 64485-2117 | 2019-02-27 |
| 1710476098 | Clark Chiropractic and Wellness Care, LLC | Chiropractor | 10725 Abercorn St Apt 143, Savannah, GA 31419-1441 | 2018-05-02 |
| 1295232452 | Benjamin Mathew Stabbe | Chiropractor | 2 Park of Commerce Blvd Ste D, Savannah, GA 31405-7410 | 2018-04-12 |
| 1356868947 | Voss Chiropractic PC | Chiropractor | 5704 Skidaway Rd, Savannah, GA 31406-2254 | 2017-08-24 |
| 1790100782 | Crossroads Chiropractic & Wellness Center | Chiropractor | 320 E. Montgomery Crossroads, Suite 30, Savannah, GA 31406 | 2014-02-27 |
| 1780029298 | Samantha Joann Hornick | Chiropractor | 2 Park of Commerce Blvd, Suite D, Savannah, GA 31405-7410 | 2013-05-10 |
| 1972946101 | Tabitha Erin Todd | Chiropractor | 6605 Abercorn St Ste 100, Savannah, GA 31405-5896 | 2013-04-08 |
| 1992081277 | Erin Mitchell | Chiropractor | 115 Charlotte Dr Ste A, Savannah, GA 31410-1911 | 2011-10-31 |
| 1952697500 | Feketellc | Chiropractor | 320 E Montgomery Xrd Ste 30, Savannah, GA 31406-4978 | 2011-06-22 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.