Individual
CHARLES EDWARD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3812 LIBERTY HWY, ANDERSON, SC 29621-1344
(864) 225-2800
(864) 225-6444
Mailing address
3812 LIBERTY HWY, ANDERSON, SC 29621-1344
(864) 225-2800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
343
SC
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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