Clark, Holly Michelle

Clark, Holly Michelle is an sole proprietor health care provider with primary practice located at 410 University Parkway Suite 2300, Aiken SC 29801-6807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Clark, Holly Michelle can be contacted via phone (803) 335-1219.

Contact Information

Primary practice address
410 University Parkway Suite 2300 Aiken SC 29801-6807
Phone: (803) 335-1219
Fax: (803) 335-1689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X RTP001859 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 317493 New York
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 33738 South Carolina

Profile Details

NPI number 1346453727
LBN Legal business name Clark, Holly Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jun 16th, 2022 - about 4 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 1346453727 NPPES
South Carolina MEDICAID 337380

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