Individual
BOBBI S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
220 PAGE RD, PINEHURST, NC 28374-8748
(910) 715-3500
(910) 715-3501
Mailing address
220 PAGE RD, PINEHURST, NC 28374-8748
(910) 715-3500
(910) 715-3501
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5011909
NC
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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