Individual
JUSTIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA HISTORY
Contact information
Practice address
1280 CENTRAL DR, SOUTHERN PINES, NC 28387-2102
(910) 692-3323
(910) 692-1114
Mailing address
1280 CENTRAL DR, SOUTHERN PINES, NC 28387-2102
(910) 692-3323
(910) 692-1114
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300012
—
NC
Enumeration date
04/11/2013
Last updated
04/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us