Organization
BEN P CLARK OD PA
Active
Parent organization
BEN P CLARK OD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEN P CLARK OD PA
Authorized official
DR. BEN P CLARK OD (OWNER)
(843) 357-2020
Entity
Organization
Contact information
Practice address
12060 HWY 17 BYP, MURRELLS INLET, SC 29576-9401
(843) 357-2020
(843) 357-2021
Mailing address
PO BOX 1307, PAWLEYS ISLAND, SC 29585-1307
(843) 237-7055
(843) 357-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035
SC
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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