| Doctor Name: | DR. ADAM N CLARK |
| NPI Number: | 1679571160 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD,PHD |
| License Number: | |
| Business Practice Address: | 850 W. H. Smith Blvd. Greenville, NC - 278343763 |
| Business Phone Number: | 2527583211 |
| Business Fax Number: | 2526950012 |
| Mailing Address: | 204 Oak Branches Close, WINTERVILLE |
| State: | NC |
| Postal Code: | 285909562 |
| Phone Number: | 2526288129 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |