National Provider Identifier Database

ADAM D CLARK, PAC – NPI #1386832194
Surgical


Contact Information

ADAM D CLARK, PAC
1600 MEDICAL DR
LAURINBURG, NC28352-5524
Phone: 910-277-9164
Fax: 910-277-9189
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for ADAM D CLARK

NPI Number 1386832194
Credentials PAC
Entity Individual
Enumeration date 10/05/2007
Last updated 05/16/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 0010-01061
  • NC Other: 0010-01061 LICENSE
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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