| NPI | 1265567598 |
|---|---|
| Doing Business As | DR. CAROLYN E. CLARK |
| Entity Type | Organization |
| Authorized Contact | CAROLYN E CLARK President 304-529-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-07-15 |