Charles S. Clark
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Charles S Clark
NPI Number
1780913640
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/23/2009
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
3986 SHIELDS ST
BLDG. H 2005 KNIGHT LANE ATTN: MEDICAL STAFF SERVICES
City
San Diego
Jacksonville
State
CA
FL
Postal Code
92124-3314
92055-0140
Country
US
US
Telephone Number
(858) 361-9254
(858) 361-9254
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/23/2009