Individual
ABIGAIL ROSE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203-5871
(704) 381-6800
Mailing address
1010 KENILWORTH AVE APT 346, CHARLOTTE, NC 28204-3472
(937) 423-3969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
06/15/2024
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