# ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
- **Other names:** Rosa Clark Medical Clinic, Inc.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588592307
- **Legal business name:** ROSA CLARK MEDICAL CLINIC ASSOCIATION, INC.
- **Authorized official:** MISS JAMIE SHANNON LEE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (864) 614-5617

## Contact information

- **Practice address:** 130 DEVELOPMENT DR, WEST UNION, SC 29696-2651
- **Practice address phone:** (864) 882-4664
- **Mailing address:** 301 MEMORIAL DR, SENECA, SC 29672-9491
- **Mailing address phone:** (864) 614-5617
- **Mailing address fax:** (864) 614-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2026
- **Last updated:** 05/12/2026