IndividualActive
Daryl Clark
NPI 1629675236 · Contractor · Columbia, SC
Provider details
- NPI number
- 1629675236
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
13 Surrey Ct Ste 200
Columbia, SC 29212-3172
Phone: (803) 553-5965
Fax: (803) 451-0328
Mailing address
13 Surrey Ct Ste 200
Columbia, SC 29212-3172
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.