Search › South Carolina › 253Z00000X
Demetria Clark
NPI 1811777394 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4600 Fort Jackson Blvd Apt 124
Columbia, SC 29209 - Phone
- (803) 357-2268
- Fax
- (803) 887-5093
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-03
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