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JAIME CLARK
Physician Assistant
NPI: 1952178303IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
0010-14109(NC)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 112 MIKEL CT
SUMMERVILLE, SC 29485 - Phone
- (774) 313-0827
Quick Facts
- NPI
- 1952178303
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 3
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