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

DEANDRA L CLARK, MD

Active

DEANDRA L CLARK, MD is a Pediatrics healthcare provider located in ANDERSON, South Carolina. NPI 1356315428 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ANDERSON, SC

Registration Details

NPI Number
1356315428
Provider Type
Individual
Gender
Female
NPI Issued
Feb 15, 2006 (20.504356589692 yrs)
Last Updated
Apr 27, 2010
Licenses
ME76610 (FL)
TL32184 (SC)

Practice Information

Address
500 N FANT ST
SUITE C
ANDERSON, SC, 296215702
Browse SC providers · Browse ZIP 29621
Phone
8642257798
Fax
8645123952
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in ANDERSON, SC

Name Credential NPI
LORI ELIZABETH MCCLANAHAN MD 1619958584
ANDREA F DRAISEN MD 1821073016
KEITH M HART MD 1629053822
NANCY STROM-MORGAN MD 1598733743
BARRY H MADDOX M.D. 1619946415
PATTI K MOSELEY MD 1609835511
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.