Individual
CLARK WILLIAM PINYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2341 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8905
(336) 716-4101
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2000-01245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13446
BCBSNC
NC
05
—
8913446
—
NC
Enumeration date
05/19/2006
Last updated
03/11/2015
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