Doctor Name: | DR. SUSAN CLARKE |
NPI Number: | 1033385984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MB BCH, MSC |
License Number: | |
Business Practice Address: | 1920 W 1st St Piedmont Plaza 1, Second Floor Winston Salem, NC - 271044220 |
Business Phone Number: | 3367162794 |
Business Fax Number: | 3367163206 |
Mailing Address: | 7 Elm Park, Donnybrook DUBLIN |
State: | IRELAND |
Postal Code: | 00004 |
Phone Number: | 011353863483418 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |