Individual
BADIE T. CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 587-4394
(919) 587-2998
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2005-00825
NC
208000000X
Pediatrics Physician
Primary
2005-00825
NC
2080P0203X
Pediatric Critical Care Medicine Physician
200500825
NC
Other
Enumeration date
06/11/2007
Last updated
11/07/2024
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