Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Pediatric Medicine LLC

Organization Pediatrics Physician · NPI 1417885583

Clark Pediatric Medicine LLC is a Pediatrics Physician in Anderson, South Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1530 N Fant St Ste C1
Anderson, SC 29621-4700
Phone: (864) 559-8464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1417885583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Clark — Owner · (864) 387-0016
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address119 Kilsprings Rd, Anderson, SC 29621-4224

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