Individual
MS. MARY KATHLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 C CONGAREE RD, GREENVILLE, SC 29607
(864) 254-9477
(864) 254-9896
Mailing address
103 LICHEN DR, WILLIAMSTON, SC 29697-8514
(864) 840-9128
(864) 231-9468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN1171
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0553
—
SC
Enumeration date
11/13/2006
Last updated
04/23/2019
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