Individual
DR. ADAM NATHANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2007-00755
NC
207RC0000X
Cardiovascular Disease Physician
2007-00755
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2007-00755
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907891
—
NC
Enumeration date
07/08/2005
Last updated
08/15/2024
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