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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE M CLARK, PA-C

Active

NICOLE M CLARK, PA-C is a Physician Assistant healthcare provider located in SALUDA, South Carolina. NPI 1114164142 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SALUDA, SC

Registration Details

NPI Number
1114164142
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2009 (17.596467432761 yrs)
Last Updated
Dec 21, 2021
License
2017 (SC)

Practice Information

Address
595 NEWBERRY HWY
SALUDA, SC, 291387808
Browse SC providers · Browse ZIP 29138
Phone
8644452500
Fax
8644453956
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SALUDA, SC

Name Credential NPI
DAVID I STEVENS PA-C 1124423561
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.