Individual
MRS. BRENDA B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
371 NC HWY 65, SUITE204 ROCKINGHAM CO. DEPT OF PUBLIC HEALTH, WENTWORTH, NC 27375-0204
(336) 342-8140
(336) 342-8356
Mailing address
371 NC HWY 65, SUITE204 ROCKINGHAM CO. DEPT OF PUBLIC HEALTH, WENTWORTH, NC 27375-0204
(336) 342-8140
(336) 342-8356
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
100487
NC
Other
Enumeration date
07/24/2006
Last updated
07/03/2008
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