Individual
VALENICA EGGLESTON-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1107A BROOKDALE ST, MARTINSVILLE, VA 24112-4501
(276) 670-3300
(276) 634-0379
Mailing address
1107A BROOKDALE ST, MARTINSVILLE, VA 24112-4501
(276) 670-3300
(276) 634-0379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243377
VA
207Q00000X
Family Medicine Physician
129166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316069933
—
VA
Enumeration date
04/04/2007
Last updated
08/11/2011
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