Nicole M Clark (PA-C) is a health care provider specializes in Physician Assistant. She is associated with medical group practice SELF MEDICAL GROUP and is affiliated with 2 hospitals as shown below.
|Practice Location||595 Newberry Hwy, Saluda, SC 29138-7808, US|
|Practice Location Phone||864-445-2500|
|Practice Location Fax||864-445-3956|
|Specialty In||Physician Assistant|
|Enumeration Date ?||Jan 13, 2009|
|Last Update Date ?||May 2, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.
|Specialty||Provider Type||Specialization||License||License State|
|Physician Assistant||Physician Assistants & Advanced Practice Nursing Providers||2017||South Carolina|
|Accepts Medicare Assignment||Yes|
|Report Quality Measures|
|Use Electronic Health Records|
|Committed to Teart Health Through the Million Hearts® initiative|
|Medical Group Practice||Self Medical Group|
|Affiliation 1||Self Regional Healthcare|
|Affiliation 2||Newberry County Memorial Hospital|
|Provider Id||Issuer State||Issuer Type||Issuer|
|SC2159||South Carolina||Medicare Pin|