Individual
MARTIN C. CLOWSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5107 SOUTHPARK DR, SUITE 104, DURHAM, NC 27713-8400
(919) 477-6900
(919) 544-6210
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(919) 477-6900
(919) 544-6210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-00985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901690
—
NC
Enumeration date
01/09/2007
Last updated
02/18/2013
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