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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TERRY LEE CLARK JR., PA-C

Active

MR. TERRY LEE CLARK JR., PA-C is a Surgical Physician Assistant healthcare provider located in CHARLESTON, South Carolina. NPI 1053310516 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CHARLESTON, SC

Registration Details

NPI Number
1053310516
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2005 (20.887034014418 yrs)
Last Updated
Feb 4, 2008
License
A475 (SC)

Practice Information

Address
109 BEE ST
CHARLESTON, SC, 294015703
Browse SC providers · Browse ZIP 29401
Phone
8437897330
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in CHARLESTON, SC

Name Credential NPI
MATTHEW KENNETH FABYANIC PA-C 1629049697
LARRY GENE HARRIS PA 1538197306
MRS. KELLY BAILEY KRUSE PAC 1942235247
CHRISTOPHER STEPHEN SCHAFER PA-C 1770591760
RONALD WILLIAM NORMAN PA-C 1760494058
KATE S EDEN PA 1225142300
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.