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Contact Information

J MADISON CLARK MD PLLC
1248 HUFFMAN MILL RD
SUITE 201
BURLINGTON, NC27215-8700
 Phone: 336-538-1966
 Fax: 336-538-1729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for J MADISON CLARK MD PLLC

NPI # 1043620347
LBN Legal business name J MADISON CLARK MD PLLC
Authorized official SONJA THOMPSON - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2014
Last updated 07/23/2014 - About 12 years ago
Identifiers
NC License # 9700217
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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