Clark, Demetria Godfrey
Clark, Demetria Godfrey is an sole proprietor health care provider with primary practice located at 4600 Fort Jackson Blvd Apt 124 , Columbia SC 29209-1142. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Clark, Demetria Godfrey can be contacted via phone (803) 357-2268.Contact Information
Primary practice address
4600 Fort Jackson Blvd Apt 124
Columbia SC 29209-1142
Phone: (803) 357-2268
Fax: (803) 887-5093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | BL002252-09-2023 | South Carolina |
Profile Details
| NPI number | 1811777394 |
|---|---|
| LBN Legal business name | Clark, Demetria Godfrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2023 |
| Last updated | Oct 3rd, 2023 - about 3 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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