MCKENZIE CLARK

Nurse Practitioner - Pediatrics

Active Individual
NPI: 1528566932

Practice Address

51 NASSAU ST
Charleston, SC 29403

Phone: (843) 722-4112

Specialties

Specialty Code Primary License
Nurse Practitioner - Pediatrics 363LP0200X Yes 22661 (SC)

Frequently Asked Questions

NPI 1528566932 is the National Provider Identifier for MCKENZIE CLARK, a Nurse Practitioner - Pediatrics provider located in Charleston, SC. This NPI was enumerated on January 31, 2018.
MCKENZIE CLARK practices at 51 NASSAU ST, Charleston, SC 29403.

Quick Facts

NPI
1528566932
Type
Individual
Enumerated
Jan 31, 2018
Last Updated
Sep 5, 2019

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