Mrs. Brenda B Clark, PHYSICIANSASSISTANT

Individual provider Surgical Physician Assistant · NPI 1417979576

Mrs. Brenda B Clark, PHYSICIANSASSISTANT is a Surgical Physician Assistant in Wentworth, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in: NC
In the registry since: 2006

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Practice location Address checks out

371 Nc Hwy 65 SUITE204 Rockingham Co Dept OF Public Health
Wentworth, NC 27375-0204
Phone: (336) 342-8140
Fax: (336) 342-8356

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary)	Taxonomy 363AS0400X · Licence 100487 (NC)

Record details

NPI number	1417979576
Entity type	Individual (Type 1)
Gender	Female
Credentials	PHYSICIANSASSISTANT
Sole proprietor	No
NPI enumerated	July 24, 2006
Last updated in NPPES	July 3, 2008