MR. Terry Lee Clark JR., PA-C
NPI #1053310516 in Charleston, South Carolina
Provider Information
- NPI Number
- 1053310516
- Entity Type
- Individual
- Name
- MR. Terry Lee Clark JR., PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 109 BEE ST
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29401-5703
- Phone
- (843) 789-7330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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