Search › South Carolina › 2086S0105X
Jason Clark, MD
NPI 1649421132 · on the registry since 2008
Practice
- Address
- 9291 Medical Plaza Dr
Charleston, SC 29406 - Phone
- (843) 764-2173
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2086S0105X
2086S0105X
- Also registered as
- 208600000X
2086S0102X
2086S0127X - Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-12
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