Clark, Vicki E

Clark, Vicki E is an individual health care provider with primary practice located at 460 Country Club Rd , Lumberton NC 28360-9494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Clark, Vicki E can be contacted via phone (910) 671-3200.

Contact Information

Primary practice address
460 Country Club Rd Lumberton NC 28360-9494
Phone: (910) 671-3200
Fax: (910) 671-3484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 940105 North Carolina

Profile Details

NPI number 1609878800
LBN Legal business name Clark, Vicki E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 1st, 2012 - about 13 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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