Preston S. Clark, Md
LBN: Moses Cone Affiliated Physicians, Inc.
Preston S. Clark, Md is an health care organization with primary practice located at 1200 North Elm Street Moses Cone Health System-Administrative Svc, Ste. 201, Greensboro NC 27401-1020. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Moses Cone Affiliated Physicians, Inc. can be contacted via phone (336) 832-8005, or through Boggs, Kenneth K via phone (336) 832-8005.
Contact Information
Primary practice address
1200 North Elm Street Moses Cone Health System-Administrative Svc, Ste. 201
Greensboro NC 27401-1020
Phone: (336) 832-8005
Fax: (336) 832-8272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | North Carolina | |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | North Carolina |
Profile Details
| NPI number | 1891008207 |
|---|---|
| LBN Legal business name | Moses Cone Affiliated Physicians, Inc. |
| DBA Doing business as | Preston S. Clark, Md |
| Authorized official | Boggs, Kenneth K |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 15th, 2010 |
| Last updated | Feb 14th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891008207 | NPPES |
| North Carolina | MEDICAID | 5914946 |
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