Clark, Mark Anthony

Clark, Mark Anthony is an individual health care provider with primary practice located at 727 Se Main St Ste 200, Simpsonville SC 29681-3247. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Clark, Mark Anthony can be contacted via phone (864) 454-6670.

Contact Information

Primary practice address
727 Se Main St Ste 200 Simpsonville SC 29681-3247
Phone: (864) 454-6670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 4448 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4448 South Carolina

Profile Details

NPI number 1861654873
LBN Legal business name Clark, Mark Anthony
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Nov 5th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers