Individual
VIVIAN ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 CONNER DR, #101 CHAPEL HILL OB GYN, CHAPEL HILL, NC 27514
(919) 942-8571
(919) 942-6355
Mailing address
120 CONNER DRIVE, # 101, CHAPEL HILL, NC 27514
(919) 942-8571
(919) 942-6355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1284188003
UHC
NC
01
—
154773
WELLPATH
NC
01
—
22171
BCBS
NC
01
—
22179
MEDCOST
NC
01
—
2276981
AETNA
NC
01
—
2855944
CIGNA
NC
01
—
562142486
BEECHSTREET
NC
05
—
7922717
—
NC
Enumeration date
03/01/2006
Last updated
09/22/2014
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