Individual provider · Type 1 NPI
George Thomas Clark Iii, MD
Specialist · Raleigh, NC
NPI number
1215977889
Active
Practice location
3713 Benson Drive, Suite 201, Carolina Vascular Surgery & Diagnostics, Pa
Raleigh, NC 27609-7372
Fax (919) 235-3401
Mailing address
3713 Benson Drive, Suite 201
Raleigh, NC 27609-7372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 32073 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1215977889
George Thomas Clark Iii, MD's National Provider Identifier is 1215977889, issued on Jun 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 1, 2012.