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Search › South Carolina › 374U00000X

Phillip Clark

NPI 1053912451 · on the registry since 2020

Practice

Address
2126 Highway 9 E Unit 5b
Longs, SC 29568
Phone
(843) 353-8664
Fax
(843) 485-0047
Organisation at this address
Prs 9, Llc
Oasis Wellness Care, Llc
Parkway Discount Pharmacy
Carolina Medical Supplies Llc
Bridging The Gap Wellness Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
374U00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina