Deandra L Clark, MD

NPI #1356315428 in Anderson, South Carolina

Provider Information

NPI Number: 1356315428
Entity Type: Individual
Name: Deandra L Clark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Feb 15, 2006
Last Updated: Apr 27, 2010

Practice Location

Address: 500 N FANT ST
Address 2: SUITE C
City: Anderson
State: South Carolina
ZIP Code: 29621-5702
Phone: (864) 225-7798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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