Individual
JOSHUA THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
1102 LANGO AVE, CHARLESTON, SC 29407-6430
(828) 551-6706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL92761
SC
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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