IndividualActive
Mary Clark
NPI 1407274194 · Home Health Registered Nurse · Chesterfield, SC
Provider details
- NPI number
- 1407274194
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37156 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
203 N Page St
Chesterfield, SC 29709-1201
Phone: (843) 623-2206
Fax: (843) 623-2469
Approximate (ZIP-level) locationGet directions
Mailing address
203 N Page St
Chesterfield, SC 29709-1201
Registry dates
- Enumerated
- 2014-03-31
- Last updated
- 2014-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.