EDWARD CLARK BURNSIDE

MT PLEASANT, SC
NPI1639492952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: SC  TL 1511)
Enumeration Date2010-03-02
Last Update Date2010-03-02
Business Address
MR. EDWARD CLARK BURNSIDE PA-C
1028 EWALL ST
MT PLEASANT, SC 29464-3046
Phone number: 843-573-0499
Mailing Address
MR. EDWARD CLARK BURNSIDE PA-C
PO BOX 81113 ASHLEY RIVER STATION
CHARLESTON, SC 29416-1113
Phone number: 843-573-0499
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