Organization
CLARK CLINICAL CONSULTING LLC
Active
Other names
CC Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE V CLARK DC, ND, CHT (OWNER)
(704) 266-3250
Entity
Organization
Contact information
Practice address
1420 N BRIDGE ST, ELKIN, NC 28621-2335
(336) 835-1517
Mailing address
1420 N BRIDGE ST, ELKIN, NC 28621-2335
(336) 835-1517
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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