Individual
NICOLE M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
595 NEWBERRY HWY, SALUDA, SC 29138-7808
(864) 445-2500
(864) 445-3956
Mailing address
595 NEWBERRY HWY, SALUDA, SC 29138-7808
(864) 445-2500
(864) 445-3956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2017
SC
Other
Enumeration date
01/13/2009
Last updated
12/21/2021
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