Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA S CLARKE, PA
Active Sole ProprietorTHERESA S CLARKE, PA is a Medical Physician Assistant healthcare provider located in ANGIER, North Carolina. NPI 1447446174 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ANGIER, NC
Registration Details
- NPI Number
- 1447446174
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2007 (18.923044182401 yrs)
- Last Updated
- Dec 15, 2010
- License
-
103209 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 N RALEIGH STREET C1ANGIER, NC, 275017547Browse NC providers · Browse ZIP 27501
- Phone
- 9193310031
- Fax
- 9193382627
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.