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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN CHRISTINE CLARK, MD

Active Sole Proprietor

DR. SUSAN CHRISTINE CLARK, MD is a General Surgery healthcare provider located in PORTSMOUTH, Virginia. NPI 1104096650 is currently active in the NPPES registry. Verify at CMS.

General Surgery · PORTSMOUTH, VA

Registration Details

NPI Number
1104096650
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2008 (18.463019257383 yrs)
Last Updated
Feb 20, 2024
Licenses
2011-00718 (NC)
MD426779 (PA)
0101253279 (VA)
Sole Proprietor
Yes

Practice Information

Address
NAVAL MEDICAL CENTER PORTSMOUTH
620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA, 23708
Browse VA providers · Browse ZIP 23708
Phone
7579539759
Fax
7579530845
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Additional Specialty
General Surgery

Other General Surgery Providers in PORTSMOUTH, VA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.