Charles Clark, D.O.
Individual
Deactivated
NPI 1568434397
Pediatrics Physician
Athens, OH
Charles Clark, D.O. holds NPI 1568434397, with a primary taxonomy of pediatrics physician and a practice location in Athens, OH. The number was issued on February 6, 2006 and the NPPES record was last updated on August 2, 2026. This NPI was deactivated on September 17, 2026.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician Primary | 208000000X | 34--003631 (OH) |
Practice location
Nearby providers with the same primary taxonomy
- Amy Maggard, DO , Athens, OH, same ZIP code
- Laura Wills, M.D. , Athens, OH, same ZIP code
- Susan Lawrence, D.O. , Athens, OH, same ZIP code
Record history
- Name on record
- Dr. Charles Thomas Clark
- Status
- Deactivated
- NPI issued
- Last updated in NPPES
- Deactivated
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NPPES data as of · Source: CMS NPPES
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