Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN CLARK
Active Sole ProprietorJACQUELYN CLARK is a Specialist healthcare provider located in COLUMBIA, South Carolina. NPI 1245768415 is currently active in the NPPES registry. Verify at CMS.
Specialist · COLUMBIA, SC
Registration Details
- NPI Number
- 1245768415
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2017 (9.1979364354504 yrs)
- Last Updated
- May 31, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
2000 N BELTLINE BLVD APT 102ECOLUMBIA, SC, 292043976Browse SC providers · Browse ZIP 29204
- Phone
- 8038142566
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS W EWART | M.D. | 1306822879 |
| DR. JOSEPH ANDREW SHEPPE | M.D. | 1619957453 |
| DR. GARY A KOCHER | M.D. | 1326028846 |
| ERIC HORST | M.D. | 1922088483 |
| JAMES R BRENNAN | M.D. | 1477533933 |
| MR. LINDSAY M. MCCARLEY | P.A. | 1083684880 |
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.