National Provider Identifier Database

CAROLYN CLARK, MD – NPI #1033156617
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

CAROLYN CLARK, MD
4461 STARKEY ROAD
SUITE 201
ROANOKE, VA24018
Phone: 540-345-4946
Fax: 540-343-7693
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for CAROLYN CLARK

NPI Number 1033156617
Credentials MD
Entity Individual
Enumeration date 06/01/2006
Last updated 04/05/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • VA License #: 0101057337
  • VA Medicaid: 1033156617
  • VA Other: 5427630 AETNA
  • VA Other: 393746 ANTHEM
  • VA Other: 7236246 CIGNA
  • VA Other: 110165956 RAILROAD MEDICARE
  • VA Other: 294398 SOUTHERN HEALTH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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