1992780860 Jerry Randall Clark, MD
Anesthesiology Physician
Active
Basic Information
- Full Name
- Jerry Randall Clark, MD
- Gender
- Male
- Enumeration Date
- December 13, 2005
- Last Update
- August 23, 2017
Practice Location
- Address
- MEDICAL CENTER BLVD
WINSTON SALEM, NC 271570001 - Phone
- (336) 716-2255
Mailing Address
- Address
- PO BOX 344
WINSTON SALEM, NC 271020344 - Phone
- (336) 716-2255
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician Pain Medicine | 207LP2900X | Anesthesiology | 200200013 | NC | No |
| Anesthesiology Physician | 207L00000X | Anesthesiology | 200200013 | NC | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891302E | 05 | NC | N/A |
| B4294 | 01 | N/A | MEDCOST |
| Q00012 | 05 | SC | N/A |
| 7543615 | 01 | N/A | AETNA |
| 1302E | 01 | N/A | BCBS |
| 46553 | 01 | N/A | PARTNERS |
| 050086653 | 01 | N/A | RR MEDICARE |
| 1840960000 | 05 | VA | N/A |
Frequently Asked Questions
What is Jerry Randall Clark, MD's NPI number?
Jerry Randall Clark, MD's NPI number is 1992780860.
Which doctor has NPI number 1992780860?
The doctor with NPI number 1992780860 is Jerry Randall Clark, MD.
What is Jerry Randall Clark, MD's practice address?
Jerry Randall Clark, MD's practice address is MEDICAL CENTER BLVD, WINSTON SALEM, NC, 271570001.
Which doctor practices at MEDICAL CENTER BLVD, WINSTON SALEM, NC, 271570001?
Jerry Randall Clark, MD practices at MEDICAL CENTER BLVD, WINSTON SALEM, NC, 271570001.
What is Jerry Randall Clark, MD's mailing address?
Jerry Randall Clark, MD's mailing address is PO BOX 344, WINSTON SALEM, NC, 271020344.
What is Jerry Randall Clark, MD's phone number?
Jerry Randall Clark, MD's phone number is (336) 716-2255.
Who is (336) 716-2255?
(336) 716-2255 is the phone number for Jerry Randall Clark, MD.
What is Jerry Randall Clark, MD's specialty?
Jerry Randall Clark, MD's specialty is Anesthesiology Physician.
What type of doctor is Jerry Randall Clark, MD?
Jerry Randall Clark, MD is a Anesthesiology Physician.
Is Jerry Randall Clark, MD a Anesthesiology?
Yes, Jerry Randall Clark, MD is a Anesthesiology.
Is Jerry Randall Clark, MD still practicing?
Yes, Jerry Randall Clark, MD is currently practicing.
Is Jerry Randall Clark, MD accepting new patients?
Jerry Randall Clark, MD may be accepting new patients. Please call their office at (336) 716-2255 to inquire about availability.
Is NPI 1992780860 still active?
Yes, NPI 1992780860 is currently active.
Where does Jerry Randall Clark, MD practice?
Jerry Randall Clark, MD practices in WINSTON SALEM, NC.
Is Jerry Randall Clark, MD a male or female doctor?
Jerry Randall Clark, MD is a male doctor.