Organization
CLARK MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP DOUGLAS CLARK SR. (PRESIDENT)
(828) 288-9447
Entity
Organization
Contact information
Practice address
430 BRADY HAMPTON DR, RUTHERFORDTON, NC 28139-7017
(828) 288-9447
(828) 288-9373
Mailing address
430 BRADY HAMPTON DR, RUTHERFORDTON, NC 28139-7017
(828) 288-9447
(828) 288-9373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5359160001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703506
—
NC
Enumeration date
10/11/2006
Last updated
04/02/2008
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