Individual
MR. SAMUEL JASON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5600
Mailing address
2283 BLAKERS BLVD, BLUFFTON, SC 29909-7808
(513) 582-2485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11081
NC
363A00000X
Physician Assistant
Primary
5174
SC
Other
Enumeration date
09/06/2012
Last updated
12/04/2025
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