Individual
LESLIE HORN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 MANNING DR, DEPARTMENT OB/GYN, CB# 7570, CHAPEL HILL, NC 27514-4220
(919) 966-5671
(919) 843-6691
Mailing address
101 MANNING DR, DEPARTMENT OB/GYN, CB# 7570, CHAPEL HILL, NC 27514-4220
(919) 966-5671
(919) 843-6691
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
2017-00702
NC
390200000X
Student in an Organized Health Care Education/Training Program
164935
NC
Other
Enumeration date
05/24/2010
Last updated
08/21/2019
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