-- JERRY RANDALL CLARK -- MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1992780860- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- MEDICAL CENTER BLVD, WINSTON SALEM, NC, 271570001
- Phone
- (336) 716-2255
Specialties & Taxonomies
Anesthesiology, Pain Medicine
License: NC #200200013
Anesthesiology
Primary License: NC #200200013