Individual provider · Type 1 NPI
Nancy S. Clark, MD
Vascular Surgery Physician · Hartsville, SC
NPI number
1114986023
Active
Practice location
704 Medical Park Dr
Hartsville, SC 29550-4765
Fax (844) 689-5206
Mailing address
PO Box 909
Louisville, KY 40201-0909
Other practice locations
- 401 E Chestnut St Unit 710, Louisville, KY 40202 · (502) 583-8303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 96463 (SC) |
| Vascular Surgery Physician Primary | 2086S0129X | 50539 (KY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
About NPI 1114986023
Nancy S. Clark, MD's National Provider Identifier is 1114986023, issued on Mar 20, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Hartsville, SC. The record was last updated on Oct 6, 2026.