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
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 200101028 (NC) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 200101028 (NC) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Other diagnostic radiology physician providers in Wilson
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.