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1639492952
EDWARD CLARK BURNSIDE
MT PLEASANT, SC
NPI
1639492952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC TL 1511)
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
Mr. EDWARD CLARK BURNSIDE PA-C
1028 EWALL ST
MT PLEASANT, SC 29464-3046
Phone number: 843-573-0499
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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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