Individual
ERIC PETER CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29432
AL
207X00000X
Orthopaedic Surgery Physician
032102
GA
207X00000X
Orthopaedic Surgery Physician
21142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00932159A
—
GA
05
—
3868282
—
TN
Enumeration date
08/31/2005
Last updated
04/05/2010
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