Individual
DR. NOELLEE TASHINA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1718 E 4TH ST STE 201, CHARLOTTE, NC 28204-3194
(704) 384-0560
(704) 384-0561
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2007-01003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908580
—
NC
Enumeration date
03/05/2007
Last updated
06/24/2022
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