Individual
DEANDRA L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 N FANT ST, SUITE C, ANDERSON, SC 29621-5702
(864) 225-7798
(864) 512-3952
Mailing address
500 N FANT ST, SUITE C, ANDERSON, SC 29621-5702
(864) 225-7798
(864) 512-3952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME76610
FL
208000000X
Pediatrics Physician
Primary
TL32184
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258609600
—
FL
Enumeration date
02/15/2006
Last updated
04/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us