Individual provider · Type 1 NPI

Edward Clark Burnside, PA-C

Medical Physician Assistant · Mount Pleasant, SC

NPI number 1639492952 Active

Practice location

1028 Ewall St
Mount Pleasant, SC 29464-3046

Call (843) 573-0499 Map

Fax (843) 388-6292

Mailing address

PO Box 81113, Ashley River Station
Charleston, SC 29416-1113

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XTL 1511 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1639492952

Edward Clark Burnside, PA-C's National Provider Identifier is 1639492952, issued on Mar 2, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Pleasant, SC. The record was last updated on Mar 2, 2010.