Individual
ERIN OLIVIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
2021-02324
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
08/22/2021
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