Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIJAH CLARK
Active Sole ProprietorELIJAH CLARK is a Genetic Counselor healthcare provider located in COLUMBIA, South Carolina. NPI 1922897669 is currently active in the NPPES registry. Verify at CMS.
Genetic Counselor · COLUMBIA, SC
Registration Details
- NPI Number
- 1922897669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2025 (1.1018414686674 yrs)
- Last Updated
- Apr 30, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 HELTON DR APT 3123COLUMBIA, SC, 292296948Browse SC providers · Browse ZIP 29229
- Phone
- 8038078894
- Fax
- 8038078894
- Primary Specialty
-
Genetic Counselor
174200000X
- Additional Specialty
- Genetic Counselor
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.