Individual
DR. ALAN BOYD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 REMOUNT RD, GASTONIA, NC 28054-7413
(704) 874-0604
Mailing address
200 E SECOND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 867-2134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110093323
RAILROAD MEDICARE
NC
05
—
7922707
—
NC
05
—
N34278
—
SC
Enumeration date
09/27/2005
Last updated
08/27/2013
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