MR. DARYL CLARK

Contractor

Active Individual
NPI: 1629675236

Practice Address

13 SURREY CT STE 200
Columbia, SC 29212

Phone: (803) 553-5965

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1629675236 is the National Provider Identifier for MR. DARYL CLARK, a Contractor provider located in Columbia, SC. This NPI was enumerated on October 6, 2020.
MR. DARYL CLARK practices at 13 SURREY CT STE 200, Columbia, SC 29212.

Quick Facts

NPI
1629675236
Type
Individual
Enumerated
Oct 6, 2020
Last Updated
Oct 6, 2020

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