Individual
GEORGE H CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 20169, ROANOKE, VA 24018-0506
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9900188
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19HJ8
BCBS NC
NC
Enumeration date
05/26/2006
Last updated
04/10/2021
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