| NPI | 1902869530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E CLARK President 919-363-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 81706) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-04-28 |