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1013914126
GEORGE L CLARK
NORTH CHARLESTON, SC
NPI
1013914126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 0264)
Enumeration Date
2005-07-05
Last Update Date
2008-03-10
Business Address
-- GEORGE L CLARK D.O.
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406-9211
Phone number: 843-572-5990
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Mailing Address
-- GEORGE L CLARK D.O.
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406-9211
Phone number: 843-572-5990
Copy
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