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

DR. HEATHER MARIE NETTLES CLARK, M.D.

Active Sole Proprietor

DR. HEATHER MARIE NETTLES CLARK, M.D. is a Psychiatry healthcare provider located in WINSTON SALEM, North Carolina. NPI 1558672584 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · WINSTON SALEM, NC

Registration Details

NPI Number
1558672584
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2010 (16.131410856392 yrs)
Last Updated
Jul 18, 2015
License
2012-00476 (NC)
Sole Proprietor
Yes

Practice Information

Address
190 KIMEL PARK DRIVE
VETERANS AFFAIRS WINSTON SALEM OUTPATIENT CLINIC
WINSTON SALEM, NC, 27103
Browse NC providers · Browse ZIP 27103
Phone
3367683296
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in WINSTON SALEM, NC

Name Credential NPI
DR. THERESA CATHERINE BURGESS MD 1477544377
SURYA K CHALLA M.D. 1730162819
DONALD WALTER PETERS MD 1194709162
BURTON VICTOR REIFLER MD 1285618256
STEPHEN IRWIN KRAMER MD 1154305100
JAMES KIMBALL MD 1467436428
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.