Individual
MR. ALAN R CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4601 W MARKET ST, GREENSBORO, NC 27408
(336) 547-9091
(336) 547-9092
Mailing address
4149 CORBIN RD, GREENSBORO, NC 27405-2918
(336) 402-6301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103660
NC
Other
Enumeration date
01/10/2007
Last updated
03/15/2012
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