Clark, Crystal Marie
Clark, Crystal Marie is an individual health care provider with primary practice located at 5156 Nc Highway 42 W , Garner NC 27529-8417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Crystal Marie can be contacted via phone (919) 329-5000.Contact Information
Primary practice address
5156 Nc Highway 42 W
Garner NC 27529-8417
Phone: (919) 329-5000
Fax: (919) 329-5300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-04032 | North Carolina |
Profile Details
| NPI number | 1164760476 |
|---|---|
| LBN Legal business name | Clark, Crystal Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2013 |
| Last updated | Jan 31st, 2022 - about 3 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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