Individual
PETER EARL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, STE 6100, CHARLOTTE, NC 28204-2990
(980) 442-2000
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200200506
NC
Other
Enumeration date
11/21/2005
Last updated
07/15/2024
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