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Contact Information

HOLLY M CLARK, MD
410 UNIVERSITY PARKWAY
SUITE 2300
AIKEN, SC29801-6807
 Phone: 803-335-1219
 Fax: 803-335-1689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for HOLLY M CLARK · (Female)

NPI # 1346453727
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2007
Last updated 06/16/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RTP001859
  • NY License # 317493
  • SC License # 33738
  • SC Medicaid 337380
Hospital affiliation(s)
  • EDGEFIELD COUNTY HOSPITAL - (Critical Access)
    300 RIDGE MEDICAL PLAZA
    EDGEFIELD, SC 29824
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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