NPI 1043620347

J Madison Clark MD PLLC

Organisation Otolaryngology Physician Burlington, NC

Practice location

Address: 1248 Huffman Mill Rd Suite 201, Burlington, NC 27215-8700
Phone: (336) 538-1966
Fax: (336) 538-1729
Mailing address: PO Box 24848, Winston Salem, NC 27114-4848

Authorised official

Name: Sonja D Thompson
Title: Practice Administrator
Phone: (336) 538-1966

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 9700217 (NC)

Other Otolaryngology providers in North Carolina →

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 9700217 (NC)

Registry record

NPI: 1043620347
Entity type: Organization
NPI issued: 7 May 2014
Record last updated: 23 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.