MR. TERRY CLARK JR., PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1053310516
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | A475 (SC) |
Frequently Asked Questions
NPI 1053310516 is the National Provider Identifier for MR. TERRY CLARK JR., PA-C, a Physician Assistant - Surgical provider located in Charleston, SC. This NPI was enumerated on July 18, 2005.
MR. TERRY CLARK JR., PA-C practices at 109 BEE ST, Charleston, SC 29401.
Quick Facts
- NPI
- 1053310516
- Type
- Individual
- Enumerated
- Jul 18, 2005
- Last Updated
- Feb 4, 2008
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