Richard C Clark Iii, MDCAC - Counselor in Hattiesburg, MS

Richard C Clark Iii, MDCAC is a Counselor - Addiction (substance Use Disorder) based in Hattiesburg, Mississippi. Richard C Clark Iii is licensed to practice in Mississippi (license number AD97-012C) and his current practice location is 800 Pineview Dr, Hattiesburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 705-1901.

NPI number for Richard C Clark Iii is 1285866079 and his current mailing address is 800 Pineview Dr, Hattiesburg, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285866079.

Contact Information

Richard C Clark Iii, MDCAC
800 Pineview Dr,
Hattiesburg, MS 39401-7459
(601) 705-1901
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameRichard C Clark Iii
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location800 Pineview Dr, Hattiesburg, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285866079
  • Provider Enumeration Date: 08/13/2009
  • Last Update Date: 08/13/2009

Medical Identifiers

Medical identifiers for Richard C Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285866079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) AD97-012C (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard C Clark Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard C Clark Iii, MDCAC
800 Pineview Dr,
Hattiesburg, MS 39401-7459

Ph: (601) 705-1901
Richard C Clark Iii, MDCAC
800 Pineview Dr,
Hattiesburg, MS 39401-7459

Ph: (601) 705-1901

Reviews and Comments


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