Individual
MARY CLAIRE LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, GME OFFICE, MYRTLE BEACH, SC 29572-4607
(843) 692-1752
(843) 692-1904
Mailing address
197 CABANA RD, MYRTLE BEACH, SC 29572-5643
(843) 455-3202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74534
AZ
Other
Enumeration date
04/02/2021
Last updated
09/12/2025
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