Individual
MR. CASEY ALLEN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
102 MASON FARM RD FL 3, CHAPEL HILL, NC 27514-4617
(984) 974-8875
(984) 974-6741
Mailing address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 471-9622
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0010-06130
NC
363A00000X
Physician Assistant
Primary
0010-06130
NC
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/18/2016
Last updated
03/13/2024
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