Whalio Doctors

NPI 1639431307

Bradley Walton Clark, MD

Practitioner Nuclear Cardiology Physician Clemmons, NC

Practice location

Address
7114 Village Medical Cir, Clemmons, NC 27012-8004
Phone
(336) 893-2440
Fax
(336) 893-2470
Mailing address
PO Box 751803, Charlotte, NC 28275-1803

Registered specialties (4)

Nuclear Cardiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207UN0901X Licence 2015-00428 (NC)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 2015-00428 (NC)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence LL34733 (SC)
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 2015-00428 (NC)

Registry record

NPI
1639431307
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jun 2012
Record last updated
18 Feb 2021

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.