Individual
GRANT CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
329 BENTPINE DR, RALEIGH, NC 27603-3886
(304) 416-3095
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
5JF77ETO
NC
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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