Alan R Clark in Greensboro - Physician Assistant
Alan R Clark - NPI 1619026119
Alan R Clark is a Physician Assistant in Greensboro, North Carolina. Alan R Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alan R Clark is 1619026119. The last update date is 2012-03-15.
Alan R Clark's current location address is 4601 W Market St, Greensboro, North Carolina. You can contact this provider via phone number 3365479091 and fax number 3365479092. The mailing address for Alan R Clark is 4601 W Market St, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan R Clark |
|---|---|
| Address | 4601 W Market St, Greensboro, North Carolina |
| Phone Number | 3365479091 |
| Fax Number | 3365479092 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619026119 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2012-03-15 |
Provider Mailing Address Detail
| Address | 4601 W Market St |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 27408 |
| Phone Number | 3365479091 |
| Fax Number | 3365479092 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103660 |
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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 Alan R Clark by the Centers for Medicare & Medicaid Services?
The Alan R Clark has been issued the NPI (National Provider Identifier) 1619026119 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Alan R Clark?
The Alan R Clark is situated at 4601 W Market St, in the city of Greensboro, state of NC, with the zip code 27408.
What is the area of specialization for Alan R Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alan R Clark is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Alan R Clark receive its 1619026119?
The Alan R Clark was issued its 1619026119 on 2007-01-10, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Alan R Clark most recently updated or revised?
The details related to Alan R Clark, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-15.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA