Individual
CATHY GRIFFITTS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 HOSPITAL AVE STE 3, JEFFERSON, NC 28640-9244
(336) 846-7433
(336) 846-7878
Mailing address
PO BOX 369, 200 HOSPITAL AVENUE, SUITE 3, JEFFERSON, NC 28640-0369
(336) 846-7433
(336) 846-7878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-02179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162V5
BCBSNC
NC
05
—
7003870
—
NC
Enumeration date
11/13/2006
Last updated
11/04/2011
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