Individual
ALEXANDER JAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 859-3373
Mailing address
210 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 859-3373
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-01612
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2019
Last updated
07/21/2022
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