William Gilmer Clark MD

NPI 1528047503 - Specialist - 174400000X

NPI Details
NPI 1528047503
Gender Male
Enumeration Date 01/10/2006
Last Updated 11/08/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2115 S MAIN ST
WAKE FOREST NC, 27587-5011, US
Phone (919) 570-2000
Fax (919) 570-2001
Business Location
2004 ROLLING ROCK RD
WAKE FOREST NC, 27587-6265, US
Phone (919) 554-8868
Fax
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 24323
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According to our database, Dr. William Gilmer Clark MD NPI is 1528047503, taxonomy code is 174400000X and license number is 24323, license state is located at North Carolina. William Gilmer Clark MD physically located at 2115 S Main St, Wake Forest NC, 27587-5011. NPI Number William Gilmer Clark MD has the Individual type.

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1528047503 NPI number is provided on an as is basis without warranty of any kind. 1528047503 is maintained by the National Plan & Provider Enumeration System. The contents of William Gilmer Clark MD are for informational purposes only.