National Provider Identifier Database

EDWARD J CLARK III, MD – NPI #1053474080
Diagnostic Radiology

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


Contact Information

EDWARD J CLARK III, MD
1705 S. TARBORO ST
WILSON, NC27893
Phone: 252-399-8928
Fax: 252-399-7313
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for EDWARD J CLARK III

NPI Number 1053474080
Credentials MD
Entity Individual
Enumeration date 12/19/2006
Last updated 03/27/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 200101028
  • NC Medicaid: 891297G
  • NC Other: 1297G BCBS
  • NC Other: P00129619 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EDWARD J CLARK III, MD

There are currently no reviews for EDWARD J CLARK III, MD


NPIdb - Home
v2.201