Robert Joel Clark in Greenville - Physician Assistant
Robert Joel Clark - NPI 1063411023
Robert Joel Clark is a Physician Assistant in Greenville, North Carolina. Robert Joel Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Joel Clark is 1063411023. The last update date is 2019-06-03.
Robert Joel Clark's current location address is 2000 Venture Tower Dr, Greenville, North Carolina. You can contact this provider via phone number 8664393132. The mailing address for Robert Joel Clark is 2000 Venture Tower Dr, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Joel Clark |
|---|---|
| Address | 2000 Venture Tower Dr, Greenville, North Carolina |
| Phone Number | 8664393132 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063411023 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2019-06-03 |
Provider Mailing Address Detail
| Address | 2000 Venture Tower Dr |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 27834 |
| Phone Number | 8664393132 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-06044 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Joel Clark by the Centers for Medicare & Medicaid Services?
The Robert Joel Clark has been issued the NPI (National Provider Identifier) 1063411023 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Robert Joel Clark is geographically located?
The Robert Joel Clark is physically situated at the following location: 2000 Venture Tower Dr, Greenville, NC, 27834.
What is Robert Joel Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert Joel Clark is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063411023 to Robert Joel Clark?
The Centers for Medicare & Medicaid Services assigned the 1063411023 to Robert Joel Clark on 2005-07-20.
As of what date was the information regarding Robert Joel Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Joel Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-03.
NPI Number: 1144225426
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