Individual
DR. CLYDE NOLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1317 N ELM ST, PARKVIEW PLAZA, STE 9, GREENSBORO, NC 27401-1033
(336) 379-1193
(336) 379-1195
Mailing address
1317 N ELM ST, PARKVIEW PLAZA, STE 9, GREENSBORO, NC 27401-1033
(336) 379-1193
(336) 379-1195
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8962953
—
NC
Enumeration date
02/17/2006
Last updated
03/10/2011
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