Individual
MS. AMIE LYONS CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3400 EXECUTIVE DR, SUITE 102, RALEIGH, NC 27609-7476
(919) 875-0539
(919) 875-1051
Mailing address
4414 LAKE BOONE TRL 502, RALEIGH, NC 27607-7521
(919) 875-0539
(919) 875-1051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101378
NC
Other
Enumeration date
01/26/2006
Last updated
07/14/2015
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