Individual
DR. AURELA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
48474
KY
2085R0202X
Diagnostic Radiology Physician
48474
KY
2085R0202X
Diagnostic Radiology Physician
Primary
52127
SC
2085R0202X
Diagnostic Radiology Physician
IP1410
KY
Other
Enumeration date
04/23/2013
Last updated
06/13/2019
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