Organization
CORESSENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A CLINTON JR. M.D. (OWNER)
(910) 321-0079
Entity
Organization
Contact information
Practice address
103 HAY ST, FAYETTEVILLE, NC 28301-5649
(910) 321-0079
(910) 321-0072
Mailing address
103 HAY ST, FAYETTEVILLE, NC 28301-5649
(910) 321-0079
(910) 321-0072
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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