Individual
JAY L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, PA-C
Contact information
Practice address
78 LONG SHOALS RD, ARDEN, NC 28704-7782
(828) 684-0703
(828) 684-5344
Mailing address
78 LONG SHOALS RD, ARDEN, NC 28704-7782
(828) 684-0703
(828) 684-5344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103190
NC
363AM0700X
Medical Physician Assistant
103190
NC
Other
Enumeration date
02/22/2006
Last updated
08/28/2012
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