Susan Christine Clark MD

NPI 1104096650 - Surgery - 208600000X

NPI Details
NPI 1104096650
Gender Female
Enumeration Date 03/11/2008
Last Updated 10/24/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
517 MOYE BLVD FL 1
ECU PHYSICIANS SURGERY - MOYE MEDICAL CENTER #2
GREENVILLE NC, 27834-2849, US
Phone (252) 744-2393
Fax (252) 744-0018
Business Location
PO BOX 751069
ECU PHYSICIANS
CHARLOTTE NC, 28275-1069, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Pennsylvania
License Number MD426779
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According to our database, Dr. Susan Christine Clark MD NPI is 1104096650, taxonomy code is 208600000X and license number is MD426779, license state is located at Pennsylvania. Susan Christine Clark MD physically located at 517 Moye Blvd Fl 1, Greenville NC, 27834-2849. NPI Number Susan Christine Clark MD has the Individual type.

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1104096650 NPI number is provided on an as is basis without warranty of any kind. 1104096650 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Christine Clark MD are for informational purposes only.