NPI 1053474080

Edward Joseph Clark, MD

Practitioner Diagnostic Radiology Physician Wilson, NC

Practice location

Address: 1705 S. Tarboro St, Wilson, NC 27893
Phone: (252) 399-8928
Fax: (252) 399-7313
Mailing address: PO Box 12156, Newport News, VA 23612-2156

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 200101028 (NC)

Other Radiology providers in North Carolina →

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 200101028 (NC)

Registry record

NPI: 1053474080
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2006
Record last updated: 27 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.