Clark, Mckenzie

Clark, Mckenzie is an individual health care provider with primary practice located at 51 Nassau St , Charleston SC 29403-5513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Mckenzie can be contacted via phone (843) 722-4112.

Contact Information

Primary practice address
51 Nassau St Charleston SC 29403-5513
Phone: (843) 722-4112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 22661 South Carolina

Profile Details

NPI number 1528566932
LBN Legal business name Clark, Mckenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2018
Last updated Sep 5th, 2019 - about 5 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.

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