Individual provider · Type 1 NPI

Edward Joseph Clark Iii, MD

Diagnostic Radiology Physician · Wilson, NC

NPI number 1053474080 Active

Practice location

1705 S. Tarboro St
Wilson, NC 27893

Fax (252) 399-7313

Mailing address

PO Box 12156
Newport News, VA 23612-2156

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204X200101028 (NC)
Diagnostic Radiology Physician Primary 2085R0202X200101028 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1053474080

Edward Joseph Clark Iii, MD's National Provider Identifier is 1053474080, issued on Dec 19, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Wilson, NC. The record was last updated on Mar 27, 2024.