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

JAIME CLARK

Active Sole Proprietor

JAIME CLARK is a Physician Assistant healthcare provider located in SUMMERVILLE, South Carolina. NPI 1952178303 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SUMMERVILLE, SC

Registration Details

NPI Number
1952178303
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2023 (2.6744375308212 yrs)
Last Updated
Sep 8, 2025
License
0010-14109 (NC)
Sole Proprietor
Yes

Practice Information

Address
112 MIKEL CT
SUMMERVILLE, SC, 294854806
Browse SC providers · Browse ZIP 29485
Phone
7743130827
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SUMMERVILLE, SC

Name Credential NPI
DIANA DUBOIS ALFORD P.A. 1588663082
SANDI E ENGLER PA-C 1588643860
CHAD ALEXANDER THOMAS PA-C 1528030863
MRS. MARTHA R GREEN MS PAS PA-C 1043284946
HEIDI LYNN TATUM PA-C 1508811522
SHERRY A LOOMAN PA 1255387130
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.