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Edward Joseph Clark III, MD
Diagnostic Radiology Physician in Wilson, North Carolina
NPI 1053474080

Edward Joseph Clark III is a Diagnostic Radiology Physician based in Newport News, NC and is specialized in Diagnostic Radiology. Edward Joseph Clark III practices in Wilson, NC and has the professional credentials of MD. The NPI Number for Edward Joseph Clark III is 1053474080 and holds a License No. 200101028 (North Carolina).

The current practice location address for Edward Joseph Clark III is 1705 S. Tarboro St, Wilson, NC and can be reached out via phone at 252-399-8928 and via fax at 252-399-7313.

Location: 1705 S. Tarboro St, Wilson, NC, 23612-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053474080
Provider Name
Edward Joseph Clark III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1705 S. Tarboro St, Wilson, NC, 23612-2156
Phone Number
252-399-8928
Fax Number
252-399-7313
Provider Enumeration Date
12/19/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00129619 01 NC RAILROAD MEDICARE
891297G 05 NC
1297G 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
1705 S. Tarboro St
City
Wilson
State
North Carolina
Zip
27893
Phone Number
252-399-8928
Fax Number
252-399-7313
person
Provider Business Mailing Address Details
Address
1705 S. Tarboro St
City
Wilson
State
North Carolina
Zip
27893
Phone Number
252-399-8928
Fax Number
252-399-7313
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
200101028 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
200101028 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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