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

CASSIDY RAE CLARK, PA-C

Active Sole Proprietor

CASSIDY RAE CLARK, PA-C is a Physician Assistant healthcare provider located in WINSTON SALEM, North Carolina. NPI 1821680067 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WINSTON SALEM, NC

Registration Details

NPI Number
1821680067
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2021 (5.5013776622632 yrs)
Last Updated
Aug 6, 2021
License
0010-11035 (NC)
Sole Proprietor
Yes

Practice Information

Address
MEDICAL CENTER BOULEVARD 7TH FLOOR
WINSTON SALEM, NC, 271577768
Browse NC providers · Browse ZIP 27157
Phone
3367163182
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WINSTON SALEM, NC

Name Credential NPI
MARILYN KAY MULLANE PA-C 1821091547
MS. JOY LISA CSIKOS PA-C 1700880440
DENNIS GEORGE LERIS PA-C 1629074323
RYAN ANGUS MCDONALD PA-C 1972503449
WILBERT C DILLARD PAC 1932191145
MRS. KIMBERLEE BANKS BLAYLOCK P.A.-C 1225024029
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.