Mark Clayton, MD | |
301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | |
(704) 403-2626 | |
Not Available |
Full Name | Mark Clayton |
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Gender | Male |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 301 Medical Park Dr, Concord, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528011582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2008-01521 (North Carolina) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 2008-01521 (North Carolina) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
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Mark Clayton, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Mark Clayton, MD 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 Ph: (704) 403-2626 |
Laura Jean Mock, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1040 Vinehaven Drive, Concord, NC 28025 Phone: 704-784-1010 Fax: 704-784-1013 | |
Amanda Lynn Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2860 | |
Andrew Zachary Heling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2660 | |
Robert A Nahouraii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 70 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-355-9794 | |
Kevin Michael Tompkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 | |
Rula Musa Freiji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660 | |
Joel Lutterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664 |