| NPI | 1891008207 |
|---|---|
| Doing Business As | PRESTON S. CLARK, MD |
| Entity Type | Organization |
| Authorized Contact | KENNETH K BOGGS CFO/Treasurer 336-832-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2011-02-14 |