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Contact Information

JOSEPH H CLARK, MD
301 E WENDOVER AVE
STE 311
GREENSBORO, NC27401-1230
 Phone: 336-272-6161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH H CLARK · (Male)

NPI Number 1194773457
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 04/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200500021
  • NC Medicaid 5900510
  • NC Other 4304710 AETNA
  • NC Other 1386T BCBS NC
  • NC Other B1041 MEDCOST
Hospital affiliation(s) Not Available
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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