Individual
DR. ROBERT EARL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
200 WELLESLEY TRADE LN, CARY, NC 27519-5576
(919) 363-7546
(919) 363-3616
Mailing address
200 WELLESLEY TRADE LN, CARY, NC 27519-5576
(919) 363-7546
(919) 363-3616
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
31121
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
31121
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0354066
UNITED HEALTHCARE
NC
01
—
070012681
RETIRED RAILROAD MEDICARE
NC
01
—
11591
BCBS
NC
01
—
13123
PARTNERS
NC
01
—
13334
DOCTOR'S HEALTH PLAN
NC
01
—
2046860
AETNA HMO
NC
01
—
259852
MAMSI
NC
01
—
4347967
AETNA PPO
NC
01
—
562070218C
CIGNA
NC
01
—
81690
MEDCOST
NC
05
—
8911591
—
NC
01
—
9715177001
CIGNA HEALTHCARE
NC
Enumeration date
06/27/2005
Last updated
09/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us