Individual
KATHERINE J. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
309 PINEYWOOD RD, THOMASVILLE, NC 27360-3438
(336) 475-8121
(336) 475-5377
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 475-8121
(336) 475-5377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7922700
—
NC
Enumeration date
01/17/2006
Last updated
03/07/2023
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