TOREY B. CLARK, MD PC (NPI# 1922288224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922288224 |
| Entity Type | Organization |
| Organization Name | TOREY B. CLARK, MD PC |
| Other Organization Name | MEDICAL ONCOLOGY & PALLIATIVE CARE |
| Practice Address |
500 W Lanier Ave Suite 406 Fayetteville GA 30214-7636 |
| Practice Telephone | 6788175355 |
| Practice Fax Number | 6788175339 |
| Mailing Telephone | 6788175355 |
| Mailing Fax Number | 6788175339 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | MRS. TOREY B CLARK (PRESIDENT) |
| Authorized Official Telephone | 6788175355 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036943 | GA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Medical Oncology & Palliative Care | Doing Business As Name - Organization |
| Street Address |
500 W LANIER AVE SUITE 406 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737680 | Torey B Clark | Specialist | 500 W Lanier Ave, Suite 406, Fayetteville, GA 30214-7636 | 2005-08-22 |
| 1306168190 | Human Services Management Group, Inc. | Community/Behavioral Health | 500 W Lanier Ave, Suite 408, Fayetteville, GA 30214-7636 | 2010-02-19 |
| 1376878223 | Ems | Nursing Care | 500 W Lanier Ave, Ste 410, Fayetteville, GA 30214-7636 | 2009-10-10 |
| 1972743946 | Edith Ezeigbo | Durable Medical Equipment & Medical Supplies | 500 W Lanier Ave, Building 200, Suite 202, Fayetteville, GA 30214-7636 | 2009-03-03 |
| 1689810475 | Atlanta South Gynecology and Obstetrics P.C. | Clinic/Center | 500 W Lanier Ave, Ste.405, Fayetteville, GA 30214-7636 | 2008-12-29 |
| 1104062355 | Elite Staffing Group for Surgical Nurses, LLC. | Nursing Care | 500 W Lanier Ave, Suite 606a, Fayetteville, GA 30214-7636 | 2008-12-17 |
| 1356533079 | Sedona Counseling, Inc | Counselor | 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214-7636 | 2007-08-16 |
| 1851510051 | Deborah Brehm | Counselor | 500 W Lanier Ave, Suite 913, Fayetteville, GA 30214-7636 | 2007-04-25 |
| 1962629360 | Sutton Orthopaedics & Sports Medicine, P.C. | Durable Medical Equipment & Medical Supplies | 500 W Lanier Ave, Suite 506, Fayetteville, GA 30214-7636 | 2007-04-19 |
| 1205960473 | Harbor Grace Hospice, Inc. | Hospice Care, Community Based | 500 W Lanier Ave, Suite 401, Fayetteville, GA 30214-7636 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1194203075 | Dominique A Hunter | Specialist | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1952825838 | Mary L Hill | Specialist | 185 Thornton Dr., Fayetteville, GA 30214 | 2017-08-01 |
| 1295288215 | Jillian Diffenbaugh | Specialist | 1019 Hay St, Fayetteville, NC 28305-5315 | 2016-07-26 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| 1841600830 | Trimana LLC | Specialist | 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 | 2014-04-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.