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Search › Ohio › 171M00000X

Charjan Clark

NPI 1093429201 · on the registry since 2023

Practice

Address
1490 E Main St
Columbus, OH 43205
Phone
(614) 252-0731
Fax
(624) 252-8468
Organisation at this address
St Vincent Family Centers
Osu Family Practice Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
462

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-16

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 Ohio