Individual
CLIO HAMILTON AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
113 MARKET PLACE DR, MOCKSVILLE, NC 27028-2084
(336) 713-4224
(336) 753-8248
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2006-01137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904739
—
NC
Enumeration date
10/05/2005
Last updated
12/15/2016
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