TERRY LEE CLARK

CHARLESTON, SC
NPI1053310516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  A475)
Enumeration Date2005-07-18
Last Update Date2008-02-04
Business Address
Mr. TERRY LEE CLARK PA-C
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-789-7330
Mailing Address
Mr. TERRY LEE CLARK PA-C
5711 CAPTAIN KIDD RD
HOLLYWOOD, SC 29449-6803
Phone number: 843-696-4290
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