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Search › South Carolina › 207Q00000X

Crystal Clark, FNP-C

NPI 1154898179 · on the registry since 2018

Practice

Address
211 S Pearl St Ste B
Pageland, SC 29728
Phone
(803) 288-9495
Fax
(989) 214-7326
Organisation at this address
Southern Charm Medical And Wellness, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
363LF0000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-23

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 South Carolina