Healthcare Provider Details

I. General information

NPI: 1699593962
Provider Name (Legal Business Name): KARA FRAZIER CLAPP PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 WOODY MILL RD STE G
GREENSBORO NC
27406-8779
US

IV. Provider business mailing address

7031 DAVIS COUNTRY RD
RANDLEMAN NC
27317-7166
US

V. Phone/Fax

Practice location:
  • Phone: 336-907-3907
  • Fax:
Mailing address:
  • Phone: 336-880-3768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-15017
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-15017
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: