Individual
DR. BEN P. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
116 BASKERVILL DR, PALWEYS ISLAND, SC 29585
(843) 357-2020
Mailing address
PO BOX 1307, PAWLEYS ISLAND, SC 29585-1307
(843) 237-7055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035
SC
Other
Enumeration date
02/02/2006
Last updated
04/27/2017
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