Terry Lee Clark is a Surgical in Charleston, South Carolina. Terry Lee Clark practices all healthcare services and medical treatments related to Surgical. The NPI Number for Terry Lee Clark is 1053310516. The last update date is 2008-02-04.
Terry Lee Clark's current location address is 109 Bee St, Charleston, South Carolina. You can contact this provider via phone number 8437897330. The mailing address for Terry Lee Clark is 109 Bee St, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Lee Clark |
|---|---|
| Address | 109 Bee St, Charleston, South Carolina |
| Phone Number | 8437897330 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053310516 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2008-02-04 |
Provider Mailing Address Detail
| Address | 109 Bee St |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 2940157030 |
| Phone Number | 8437897330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | A475 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| QM0402 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Terry Lee Clark by the Centers for Medicare & Medicaid Services?
The Terry Lee Clark has been issued the NPI (National Provider Identifier) 1053310516 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Terry Lee Clark located?
The Terry Lee Clark is located at 109 Bee St, Charleston, SC 2940157030.
What is Terry Lee Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Terry Lee Clark's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
When did the Terry Lee Clark receive its 1053310516?
The Terry Lee Clark was issued its 1053310516 on 2005-07-18, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Terry Lee Clark most recently updated or revised?
The details related to Terry Lee Clark, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-04.