Individual
PATRICIA A MCCLERKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 DOCTORS CIR, COLUMBIA, SC 29203-6503
(803) 771-9163
(803) 771-7383
Mailing address
112 DOCTORS CIR, COLUMBIA, SC 29203-6503
(803) 771-9163
(803) 771-7383
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13923
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3032
—
SC
Enumeration date
09/20/2006
Last updated
10/10/2012
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