HOLLY MICHELLE CLARK


Address: 410 University Parkway, Suite 2300, Aiken, SC 29801-6807
Phone: 8033351219

HOLLY MICHELLE CLARK (NPI# 1346453727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346453727
Entity Type Individual
Full Name HOLLY MICHELLE CLARK
Credential M.D.
Practice Address 410 University Parkway
Suite 2300
Aiken
SC 29801-6807
Practice Telephone 8033351219
Practice Fax Number 8033351689
Mailing Telephone 8033351219
Mailing Fax Number 8033351689
Enumeration Date 2007-05-08
Last Update Date 2015-11-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0015X Psychiatry & Neurology
Specialization: Psychosomatic Medicine
33738 SC Allopathic & Osteopathic Physicians
N 2084P0015X Psychiatry & Neurology
Specialization: Psychosomatic Medicine
RTP001859 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 337380 05

Other Providers HOLLY CLARK

NPI Name Taxonomy Address Enumeration
1962667816 Holly Ann Clark Physical Therapist 5300 Northgate Dr, Bethlehem, PA 18017-9436 2008-07-21
1629256185 Holly Ann Clark Counselor 220 E First Ave Extension, Lexington, NC 27292 2008-02-07
1205823093 Holly A Clark Nurse Practitioner 2320 High St, Blue Island, IL 60406-2426 2005-10-05
1437623980 Holly Clark Student in an Organized Health Care Education/Training Program 2316 Walker Building, Auburn University, AL 36849-0001 2019-01-17
1538630223 Holly Lyn Clark Developmental Therapist 345 Greenwood St Ste A, Worcester, MA 01607-1767 2018-12-06
1427539568 Holly Clark Pharmacist 110 S 9th Ave, Yakima, WA 98902-3315 2018-08-27
1750732285 Holly Marie Clark Dentist 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2016-06-27
1689807349 Holly D. Clark Case Manager/Care Coordinator 2100 Comer Ave, Columbus, GA 31904-8725 2009-08-28
1447409446 Holly Heist Meskimen Clark Physician Assistant 115 Sunnyside Ave, Granger, WA 98932 2008-09-15
1376639047 Holly Clark Internal Medicine 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1348 2006-10-04

Office Location

Street Address 410 UNIVERSITY PARKWAY
SUITE 2300
City AIKEN
State SC
Zip Code 29801-6807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841261526 Edwin Victor Martinez De Andino Internal Medicine 410 University Parkway, Suite 1000, Aiken, SC 29801 2006-01-30
1104951060 Cynthia Foster Motycka Counselor 410 University Parkway, Suite 2300, Aiken, SC 29801-6807 2007-02-22
1164440020 Robert Daniel Boone Obstetrics & Gynecology 410 University Parkway, Ste 1550, Aiken, SC 29801 2006-07-18
1417975376 James Francis Boehner Obstetrics & Gynecology 410 University Parkway, Suite 1550, Aiken, SC 29801 2006-07-18
1134147564 Andreina Dodson Angle Nurse Practitioner 410 University Parkway, Suite 1550, Aiken, SC 29801 2006-07-17
1851319297 Oletha Rosina Minto Obstetrics & Gynecology 410 University Parkway, Suite 1550, Aiken, SC 29801 2006-07-17
1164476479 Michelle M. Lyon Psychiatry & Neurology 410 University Parkway, Suite 1000, Aiken, SC 29801 2006-05-20
1023078011 Kevin Allen Ard Specialist/Technologist 410 University Parkway, Suite 1000, Aiken, SC 29801 2006-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003457557 Edwin Knight Technician 458 Wheat Rd, Aiken, SC 29801 2019-10-07
1669934469 Julian Bogan Counselor 1135 Greg Hwy., Augusta, SC 29801 2019-04-02
1457820433 Catherine Reddish Home Health 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 2018-11-19
1538653498 Brenda Jean Jackson Technician 807 Dillon Ave, New Aiken, SC 29801 2018-06-14
1932649654 Vageo Inc Clinic/Center 227 Chesterfiled St S, Aiken, SC 29801 2017-02-28
1629472550 Andrea Ellis Nurse Practitioner 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 2014-10-21
1699177782 Joyce Walker Pompey Registered Nurse 471 University Parkway, Box 11, Aiken, SC 29801 2014-09-19
1578973251 Rehab Without Walls, Inc. Clinic/Center 104 Florence St. Sw, Suite A, Aiken, SC 29801 2014-05-02
1609297571 Katherine Delucas Duke Counselor 1135 Gregg Highway, Aiken, SC 29801 2013-12-19
1811328149 Lynda Renee Green Speech-Language Pathologist 100 Bears Rock Rd., Aiken, SC 29801 2013-12-12
Find all providers in zip 29801

Taxonomy Information

Taxonomy Code 2084P0015X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychosomatic Medicine

Taxonomy Definition

Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558484345 Joel P. Sussman Psychiatry & Neurology 245 Business Park Boulevard, Columbia, SC 29203 2007-04-09
1841412061 Center for Behavioral Health LLC Psychiatry & Neurology 182 Laurelhurst Ave, Columbia, SC 29210-3824 2007-05-03

Competitor

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City AIKEN
Zip Code 29801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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