Individual provider · Type 1 NPI

Debra Clark, PA-C

Physician Assistant · Winston Salem, NC

NPI number 1720058282 Active

Practice location

250 Charlois Blvd
Winston Salem, NC 27103-1508

Call (336) 718-1000 Map

Fax (336) 718-1052

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103316 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720058282

Debra Clark, PA-C's National Provider Identifier is 1720058282, issued on Jan 25, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 8, 2016.