Robert Earl Clark is a Dermatology in Cary, North Carolina. Robert Earl Clark practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Robert Earl Clark is 1982600789. The last update date is 2020-09-29.
Robert Earl Clark's current location address is 200 Wellesley Trade Ln, Cary, North Carolina. You can contact this provider via phone number 9193637546 and fax number 9193633616. The mailing address for Robert Earl Clark is 200 Wellesley Trade Ln, Cary, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Earl Clark |
|---|---|
| Address | 200 Wellesley Trade Ln, Cary, North Carolina |
| Phone Number | 9193637546 |
| Fax Number | 9193633616 |
| Sole Proprietor | N |
| Credentials | M.D., PHD |
NPI Number Detail
| NPI Number | 1982600789 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2020-09-29 |
Provider Mailing Address Detail
| Address | 200 Wellesley Trade Ln |
|---|---|
| City | Cary |
| State | North Carolina (NC) |
| Post Code | 275195576 |
| Phone Number | 9193637546 |
| Fax Number | 9193633616 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 31121 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 562070218C | NC | CIGNA | |
| 70012681 | NC | RETIRED RAILROAD MEDICARE | |
| 9715177001 | NC | CIGNA HEALTHCARE | |
| 354066 | NC | UNITED HEALTHCARE | |
| 8911591 | NC | -- | |
| 81690 | NC | MEDCOST | |
| 11591 | NC | BCBS | |
| 13334 | NC | DOCTOR'S HEALTH PLAN | |
| 2046860 | NC | AETNA HMO | |
| 259852 | NC | MAMSI |
Post Comment/ Review Below
What is the Robert Earl Clark's unique identification number?
The Robert Earl Clark has been assigned the NPI (National Provider Identifier) Number 1982600789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Robert Earl Clark is located?
The Robert Earl Clark is situated at the following address: 200 Wellesley Trade Ln, Cary, NC, 275195576.
What is Robert Earl Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Earl Clark's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Robert Earl Clark receive the assignment of its 1982600789 from the Centers for Medicare & Medicaid Services?
The Robert Earl Clark was issued its 1982600789 by the Centers for Medicare & Medicaid Services on 2005-06-27.
When was the information pertaining to Robert Earl Clark most recently updated or revised?
The details related to Robert Earl Clark, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-29.