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

TaxonomyCodeLicense
Specialist Primary 174400000X32073 (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.