Individual
MR. ADAM MERRITT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
5009 BOULDER CREEK LN, RALEIGH, NC 27613-6075
(919) 302-6255
Mailing address
5009 BOULDER CREEK LN, RALEIGH, NC 27613-6075
(919) 302-6255
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
1000-00677
NC
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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