Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Terry Lee Clark Jr., PA-C

Individual provider Surgical Physician Assistant · NPI 1053310516

Mr. Terry Lee Clark Jr., PA-C is a Surgical Physician Assistant in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

109 Bee St
Charleston, SC 29401-5703
Phone: (843) 789-7330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence A475 (SC)

Record details

NPI number1053310516
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESFebruary 4, 2008

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