Organization
CAROLYN E CLARK MD INC
Active
Other names
DR. CAROLYN E. CLARK
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN E CLARK M.D. (PRESIDENT)
(304) 529-4117
Entity
Organization
Contact information
Practice address
1124 19TH ST, HUNTINGTON, WV 25701-3904
(304) 529-4117
(304) 529-4117
Mailing address
1124 19TH ST, HUNTINGTON, WV 25701-3904
(304) 529-4117
(304) 529-4117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965817
—
OH
05
—
3810005901
—
WV
Enumeration date
02/23/2007
Last updated
07/15/2008
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