Search › South Carolina › 363A00000X
Jaime Clark
NPI 1952178303 · on the registry since 2023 · sole proprietor
Practice
- Address
- 112 Mikel Ct
Summerville, SC 29485 - Phone
- (774) 313-0827
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-08
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