Search › North Carolina › 231H00000X
Jerry Clark
NPI 1548664766 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4611 Otter Ct
Burlington, NC 27215 - Phone
- (336) 263-0330
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina