| NPI | 1316794639 |
|---|---|
| Doing Business As | ROSA CLARK MEDICAL CLINIC, INC. |
| Entity Type | Organization |
| Authorized Contact | JAMIE SHANNON LEE Chief Financial Officer 864-973-7391 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2025-08-26 |