IndividualActive
Adam Clark, CP
NPI 1114462280 · Perfusionist · Raleigh, NC
Provider details
- NPI number
- 1114462280
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1000-00677 (NC)
Mailing address
5009 Boulder Creek Ln
Raleigh, NC 27613-6075
Registry dates
- Enumerated
- 2016-12-28
- Last updated
- 2016-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.