Clark, Adam Nathaniel

Clark, Adam Nathaniel is an individual health care provider with primary practice located at 115 Heart Dr , Greenville NC 27834-8982. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Clark, Adam Nathaniel can be contacted via phone (252) 744-4400.

Contact Information

Primary practice address
115 Heart Dr Greenville NC 27834-8982
Phone: (252) 744-4400
Fax: (252) 744-3987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 2007-00755 North Carolina
Other Service Providers / Specialist 174400000X 2007-00755 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2007-00755 North Carolina

Profile Details

NPI number 1679571160
LBN Legal business name Clark, Adam Nathaniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Aug 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679571160 NPPES
North Carolina MEDICAID 5907891

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