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Individual

LOIS GAIL CLARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
705 6TH AVE W, SUITE A, HENDERSONVILLE, NC 28739-4164
(828) 694-8389
Mailing address
PO BOX 27877, SALT LAKE CITY, UT 84127-0877
(828) 694-8350
(828) 694-7654

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101260422
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39931
NC
207RP1001X
Pulmonary Disease Physician
0101260422
VA
207RP1001X
Pulmonary Disease Physician
Primary
39931
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
39931
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22792
BCBS NC PROVIDER #
NC
01
290008578
RR MEDICARE
05
8922792
NC
01
P01272362
RR MEDICARE
NC
Enumeration date
02/27/2006
Last updated
11/21/2016
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