Individual
MR. ROBERT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
EMPLOYEE AND OCCUPATIONAL HEALTH, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(734) 474-6325
(336) 716-6127
Mailing address
4105 BIRCH CREEK TRL, WINSTON SALEM, NC 27106-6510
(734) 474-6325
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5006585
NC
Other
Enumeration date
05/03/2007
Last updated
12/05/2013
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