person
Mr. Terry Lee Clark JR., PA-C
Surgical Physician Assistant in Charleston, South Carolina
NPI 1053310516

Terry Lee Clark JR. is a Surgical Physician Assistant based in Hollywood, SC and is specialized in Surgical. Terry Lee Clark JR. practices in Charleston, SC and has the professional credentials of PA-C. The NPI Number for Terry Lee Clark JR. is 1053310516 and holds a License No. A475 (South Carolina).

The current practice location address for Terry Lee Clark JR. is 109 Bee St, Charleston, SC and can be reached out via phone at 843-789-7330.

Location: 109 Bee St, Charleston, SC, 29449-6803
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Provider Profile Details
NPI Number
1053310516
Provider Name
Terry Lee Clark JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
109 Bee St, Charleston, SC, 29449-6803
Phone Number
843-789-7330
Fax Number
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
QM0402 05 SC
institution
Provider Business Practice Location Address Details
Address
109 Bee St
City
State
Zip
29401-5703
Phone Number
843-789-7330
Fax Number
person
Provider Business Mailing Address Details
Address
109 Bee St
City
State
Zip
29401-5703
Phone Number
843-789-7330
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
A475 (South Carolina)
Definition
Definition to come...
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