Individual
ASHLEY T. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2050 CORPORATE CENTRE DR, MYRTLE BEACH, SC 29577-7428
(843) 698-3120
(888) 900-2640
Mailing address
2050 CORPORATE CENTRE DR, MYRTLE BEACH, SC 29577-7428
(843) 698-3120
(888) 900-2640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23387
SC
363LF0000X
Family Nurse Practitioner
4054773
KY
Other
Enumeration date
10/09/2019
Last updated
04/02/2026
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