Individual
DR. PATRICIA ELLEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
307 N COLUMBIA ST, CHAPEL HILL, NC 27516-2119
(919) 542-6808
Mailing address
2281 LAMONT NORWOOD RD, PITTSBORO, NC 27312-7002
(919) 967-5766
(919) 929-3722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22550
BCBS
NC
05
—
8910964
—
NC
Enumeration date
04/26/2007
Last updated
07/08/2007
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