MCKENZIE CLARK

CHARLESTON, SC
NPI1528566932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: SC  22661)
Enumeration Date2018-01-31
Last Update Date2019-09-05
Business Address
MCKENZIE CLARK
51 NASSAU ST
CHARLESTON, SC 29403-5513
Phone number: 843-722-4112
Mailing Address
MCKENZIE CLARK
157 QUEEN ST APT A
CHARLESTON, SC 29401-2056
Phone number: 941-726-2825
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