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Organization

BEN P. CLARK, OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEN P, CLARK OD (OWNER)
(843) 365-1158
Entity
Organization

Contact information

Practice address
12060 HWY 17 BYP, MURRELLS INLET, SC 29576-9401
(843) 357-2020
Mailing address
PO BOX 1307, PAWLEYS ISLAND, SC 29585-1307
(843) 357-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035
SC

Other

Enumeration date
05/10/2006
Last updated
09/02/2008
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