Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY CLARK
Active Sole ProprietorMARY CLARK is a Bus healthcare provider located in ALCOLU, South Carolina. NPI 1982022562 is currently active in the NPPES registry. Verify at CMS.
Bus · ALCOLU, SC
Registration Details
- NPI Number
- 1982022562
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2014 (12.358819946495 yrs)
- Last Updated
- Apr 1, 2014
- License
-
3205095 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2957 BROGDON RDALCOLU, SC, 290018637Browse SC providers · Browse ZIP 29001
- Phone
- 2024037850
- Primary Specialty
-
Bus
343900000X
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.