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

Mr. Christopher Wayne Clark, AGNP

Individual provider Nurse Practitioner · NPI 1174455463

Mr. Christopher Wayne Clark, AGNP is a Nurse Practitioner in West Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

131 Sunset Ct
West Columbia, SC 29169-2429
Phone: (803) 796-2222
Fax: (803) 796-7839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 32311 (SC)

Record details

NPI number1174455463
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJune 1, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address131 Sunset Ct, West Columbia, SC 29169-2429

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