PORTER GRACE CLARK

RALEIGH, NC
NPI1952040552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-06-01
Last Update Date2026-07-29
Business Address
PORTER GRACE CLARK PA-C
4551 NEW BERN AVE STE A100
RALEIGH, NC 27610-1551
Phone number: 984-215-4950
Mailing Address
PORTER GRACE CLARK PA-C
4551 NEW BERN AVE STE A100
RALEIGH, NC 27610-1551
Phone number: 984-215-4950
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