Individual
ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2822
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201125
SC
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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