Individual
SUSAN NOCK CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-4100
(864) 355-4180
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-4100
(864) 355-4180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64976
SC
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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