Clark Family Medicine PA
Organization Active NPI Family Medicine Physician · Newland, NC
NPI 1306845573 · NPPES record last updated Aug 20, 2018
Key facts
- NPI
- 1306845573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0098-01210 (NC)
- Legal business name
- CLARK FAMILY MEDICINE PA
- Practice address
- 137 Notalee St
Newland, NC 28657 - Phone
- (828) 528-3009
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Dale Clark, M.D.
- Title
- President
- Phone
- (828) 528-3009
Practitioners 7
-
Jennie Goodwin, NP
-
Jessica Liniece Storer, FNP-C, PMHNP-BC
-
Rosa Marie Benfield, FNP
-
Daniel James Frayne, M.D.
-
Nancy McIntosh Griffith, RN MSN FNP CNM
-
John David Riser, PA-C
-
Donna Smith Tate, FNP
National Provider Directory
Locations
137 Notalee St
Newland, NC 28657
Phone (828) 397-9334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 0098-01210 | NC | Yes |
Addresses
Primary practice location
137 Notalee St
Newland, NC 28657
Mailing address
PO Box 58
Crossnore, NC 28616-0058
Phone (828) 528-3009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013VR | Medicaid | NC |
Other names
- Clark Family & Obstetric Care PA
Other providers in Newland, NC
- Ralph Kenneth Byerly
- Ansley Campbell
- Danielle Ryan Capparelli
- Carolina Integrative Psychological Services, PLLC
- Ashley Nicole Chapman
- Robert Dale Clark
- Shayna Vance Cole
- Compassionate Hearts Home Care Agency,Inc
- Betty Richelle Conley
- Ian Y.O. Cornwell
All providers in Newland, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.