Christopher C Clark, PA-C
Physician Assistant in Clayton, North Carolina
1104282540- Practice location
- 2076 Hwy 42 W, Clayton, NC 27520-5302
- Phone
- 919-763-1050
- Fax
- —
- Last updated
- July 27, 2021
Christopher C Clark is a Physician Assistant based in Clayton, NC. Christopher C Clark practices in Clayton, NC and has the professional credentials of PA-C. The NPI Number for Christopher C Clark is 1104282540 and holds a License No. 0010-06158 (NC). The current practice location address for Christopher C Clark is 2076 Hwy 42 W, Clayton, NC 27520-5302 and can be reached out via phone at 919-763-1050.
Provider Profile Details
- NPI Number
- 1104282540
- Provider Name
- Christopher C Clark
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2076 Hwy 42 W, Clayton, NC 27520-5302
- Phone Number
- 919-763-1050
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 14, 2016
- Last Update Date
- July 27, 2021
- Certification Date
- July 1, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2076 Hwy 42 W
Clayton, NC 27520-5302 - City
- Clayton
- State
- North Carolina
- Zip
- 27520-5302
- Phone Number
- 919-763-1050
Provider Business Mailing Address Details
- Address
- Po Box 5105
Belfast, ME 04915-5100 - City
- Belfast
- State
- ME
- Zip
- 04915-5100
- Phone Number
- 919-220-5255
License Information
- License Number
- 0010-06158
- License State
- NC
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Christopher C Clark, PA-C?
The NPI number of Christopher C Clark, PA-C is 1104282540. It was assigned on January 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Christopher C Clark, PA-C?
Christopher C Clark, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-06158.
Where does Christopher C Clark, PA-C practice?
The practice location is 2076 Hwy 42 W, Clayton, NC 27520-5302. The office can be reached at 919-763-1050 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104282540 directly on the NPPES registry website.