Individual
DEMETRICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2216 E NC HIGHWAY 54, DURHAM, NC 27713-2208
(919) 544-2020
Mailing address
100 GLADE PARK RD, CARY, NC 27518-8683
(919) 363-2146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1385
NC
Other
Enumeration date
05/23/2006
Last updated
05/07/2015
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