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Erin Olivia Clark
Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina
NPI 1134680325

Erin Olivia Clark is a Student in an Organized Health Care Education/Training Program based in Fayetteville, NC. Erin Olivia Clark practices in Fayetteville, NC. The NPI Number for Erin Olivia Clark is 1134680325 and holds a License No. 2021-02324 (North Carolina).

The current practice location address for Erin Olivia Clark is 1601 Owen Dr, Fayetteville, NC and can be reached out via phone at 910-678-0100. You can also correspond with Erin Olivia Clark through the mailing address at 1601 OWEN DR, FAYETTEVILLE, NC - 28304-3425 (mailing address contact number: 910-678-0100).

Location: 1601 Owen Dr, Fayetteville, NC, 28304-3425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134680325
Provider Name
Erin Olivia Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 Owen Dr, Fayetteville, NC, 28304-3425
Phone Number
910-678-0100
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3425
Phone Number
910-678-0100
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3425
Phone Number
910-678-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2021-02324 (North Carolina)
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.
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