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Clark Patrick Wise, MD
Diagnostic Radiology Physician in Columbia, South Carolina
NPI 1619472354

Clark Patrick Wise is a Diagnostic Radiology Physician based in Greenville, SC and is specialized in Diagnostic Radiology. Clark Patrick Wise practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Clark Patrick Wise is 1619472354 and holds a License No. 52527 (South Carolina).

The current practice location address for Clark Patrick Wise is 1519 Marion St, Columbia, SC and can be reached out via phone at 803-296-5954 and via fax at 803-296-3076.

Location: 1519 Marion St, Columbia, SC, 29601-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619472354
Provider Name
Clark Patrick Wise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1519 Marion St, Columbia, SC, 29601-2842
Phone Number
803-296-5954
Fax Number
803-296-3076
Provider Enumeration Date
03/26/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1519 Marion St
City
Columbia
State
South Carolina
Zip
29201-2910
Phone Number
803-296-5954
Fax Number
803-296-3076
person
Provider Business Mailing Address Details
Address
1519 Marion St
City
Columbia
State
South Carolina
Zip
29201-2910
Phone Number
803-296-5954
Fax Number
803-296-3076
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
52527 (South Carolina)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
52527 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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