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 provides Pediatrics Physician services 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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