Individual
CHELSEA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1452 BOONE HILL RD, SUMMERVILLE, SC 29483-2408
(843) 509-4415
Mailing address
123 GARDEN GROVE DR, SUMMERVILLE, SC 29485-8791
(724) 996-4113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27234
SC
Other
Enumeration date
09/29/2022
Last updated
07/22/2025
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