Tonya Clark

NPI 1659755825 · on the registry since 2015 · sole proprietor

Practice

Address: 3 Charleston Center Dr
Charleston, SC 29401
Phone: (843) 579-4500
Organisation at this address: S.C. Department Of Health And Environmental Control
S.C. Department Of Health And Environmental Control
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 163WC1500X
163WC1500X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-07-16

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