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Individual
MARTHA MALLARY CLAY
Active
Individual
MARTHA MALLARY CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001012577
NC
363AM0700X
Medical Physician Assistant
001012577
NC
Other
Enumeration date
08/03/2022
Last updated
04/30/2025
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