Individual
DR. LOUIS PHILLIP CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4140 FERNCREEK DR, SUITE 801, FAYETTEVILLE, NC 28314-2563
(910) 484-2171
(910) 484-4568
Mailing address
4140 FERNCREEK DR, SUITE 801, FAYETTEVILLE, NC 28314-2563
(910) 484-2171
(910) 484-4568
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27779
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
27779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22718
BCBS INDIVIDUAL ID NUMBER
NC
05
—
8922718
—
NC
Enumeration date
02/15/2006
Last updated
10/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us