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1558672584
HEATHER MARIE NETTLES CLARK
WINSTON SALEM, NC
NPI
1558672584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC 2012-00476)
Enumeration Date
2010-06-24
Last Update Date
2015-07-18
Business Address
Dr. HEATHER MARIE NETTLES CLARK M.D.
190 KIMEL PARK DRIVE VETERANS AFFAIRS WINSTON SALEM OUTPATIENT CLINIC
WINSTON SALEM, NC 27103
Phone number: 336-768-3296
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Mailing Address
Dr. HEATHER MARIE NETTLES CLARK M.D.
7045 ORCHARD PATH DR
CLEMMONS, NC 27012-8222
Phone number: 336-655-7271
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