person
Jaime Clark
Medical Physician Assistant in Summerville, South Carolina
NPI 1952178303

Jaime Clark is a Medical Physician Assistant based in Summerville, SC and is specialized in Medical. Jaime Clark practices in Summerville, SC. The NPI Number for Jaime Clark is 1952178303 and holds a License No. (South Carolina).

The current practice location address for Jaime Clark is 112 Mikel Ct, Summerville, SC and can be reached out via phone at 774-313-0827. You can also correspond with Jaime Clark through the mailing address at 112 MIKEL CT, SUMMERVILLE, SC - 29485-4806 (mailing address contact number: ).

Location: 112 Mikel Ct, Summerville, SC, 29485-4806
person
Provider Profile Details
NPI Number
1952178303
Provider Name
Jaime Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
112 Mikel Ct, Summerville, SC, 29485-4806
Phone Number
774-313-0827
Fax Number
Provider Enumeration Date
12/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Mikel Ct
City
State
Zip
29485-4806
Phone Number
774-313-0827
Fax Number
person
Provider Business Mailing Address Details
Address
112 Mikel Ct
City
State
Zip
29485-4806
Phone Number
774-313-0827
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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