NPI 1124282538

Donald Eugene Clark

Practitioner Community Health Worker Charlotte, NC

Practice location

Address: 5117 Tarrywood Ln, Charlotte, NC 28205-4827
Phone: (704) 200-1028

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in North Carolina →

Registry record

NPI: 1124282538
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2008
Record last updated: 15 Jul 2008

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.