Organization
CLARK FAMILY MEDICINE PA
Active
Other names
Clark Family & Obstetric Care PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DALE CLARK M.D. (PRESIDENT)
(828) 528-3009
Entity
Organization
Contact information
Practice address
137 NOTALEE ST, NEWLAND, NC 28657
(828) 528-3009
Mailing address
PO BOX 58, CROSSNORE, NC 28616-0058
(828) 528-3009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0098-01210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013VR
—
NC
Enumeration date
07/19/2005
Last updated
08/20/2018
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