Clark, Karcy Grove

Clark, Karcy Grove is an individual health care provider with primary practice located at 480 Floyd Rd Ste A , Spartanburg SC 29307-1518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Karcy Grove can be contacted via phone (864) 582-2188.

Contact Information

Primary practice address
480 Floyd Rd Ste A Spartanburg SC 29307-1518
Phone: (864) 582-2188
Fax: (864) 582-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3387 South Carolina

Profile Details

NPI number 1497397004
LBN Legal business name Clark, Karcy Grove
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated Nov 17th, 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 1497397004 NPPES
South Carolina MEDICAID 3946PA
South Carolina Other SCG4977628

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