Joseph M Clark in Winston Salem - Plastic Surgery Within The Head & Neck
Joseph M Clark - NPI 1053308288
Joseph M Clark is a Plastic Surgery Within The Head & Neck in Winston Salem, North Carolina. Joseph M Clark practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Joseph M Clark is 1053308288. The last update date is 2021-04-30.
Joseph M Clark's current location address is Po Box 24848, Winston Salem, North Carolina. You can contact this provider via phone number 3365381966 and fax number 3365381729. The mailing address for Joseph M Clark is Po Box 24848, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph M Clark |
|---|---|
| Address | Po Box 24848, Winston Salem, North Carolina |
| Phone Number | 3365381966 |
| Fax Number | 3365381729 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053308288 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2021-04-30 |
Provider Mailing Address Detail
| Address | Po Box 24848 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271144848 |
| Phone Number | 3365381966 |
| Fax Number | 3365381729 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 9700217 |
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Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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What is the unique identification code assigned to Joseph M Clark by the Centers for Medicare & Medicaid Services?
The Joseph M Clark has been issued the NPI (National Provider Identifier) 1053308288. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Joseph M Clark is physically located?
The Joseph M Clark is situated at the following address: Po Box 24848, Winston Salem, NC 271144848.
What is Joseph M Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joseph M Clark's specialized field of practice is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code that categorizes this area of specialization is 207Yx0007X.
When did Joseph M Clark receive its 1053308288 assignment?
The Joseph M Clark was assigned its 1053308288 on 2005-10-03, which is the date when this unique identifier was issued to the organization.
As of what date were the Joseph M Clark's details last updated?
The information pertaining to the Joseph M Clark, including its address, specialty, and other details, was most recently updated on 2021-04-30.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA