Individual provider · Type 1 NPI
Theresa S. Clarke, PA
Medical Physician Assistant · Angier, NC
NPI number
1447446174
Active
Practice location
800 N Raleigh Street C1
Angier, NC 27501-7547
Fax (919) 338-2627
Mailing address
800 N Raleigh St Ste C1
Angier, NC 27501-8613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 103209 (NC) |
Medical Physician Assistant: Definition to come...
About NPI 1447446174
Theresa S. Clarke, PA's National Provider Identifier is 1447446174, issued on Sep 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Angier, NC. The record was last updated on Dec 15, 2010.