Clark, Ashley Lucas

Clark, Ashley Lucas is an individual health care provider with primary practice located at 727 Se Main St Suite 100, Simpsonville SC 29681-3247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Ashley Lucas can be contacted via phone (864) 454-6520.

Contact Information

Primary practice address
727 Se Main St Suite 100 Simpsonville SC 29681-3247
Phone: (864) 454-6520
Fax: (864) 454-6525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21043 South Carolina

Profile Details

NPI number 1730115676
LBN Legal business name Clark, Ashley Lucas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 17th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730115676 NPPES
South Carolina Other 57-1004971003 BCBS OF SC
South Carolina Other 7742353 BCBS OF SC
South Carolina MEDICAID 210435 BCBS OF SC

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