Clark, Adam D

Clark, Adam D is an individual health care provider with primary practice located at 1600 Medical Dr , Laurinburg NC 28352-5524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Clark, Adam D can be contacted via phone (910) 277-9164.

Contact Information

Primary practice address
1600 Medical Dr Laurinburg NC 28352-5524
Phone: (910) 277-9164
Fax: (910) 277-9189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-01061 North Carolina

Profile Details

NPI number 1386832194
LBN Legal business name Clark, Adam D
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated May 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386832194 NPPES
North Carolina Other 0010-01061 LICENSE

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