Traci D Clark DC

NPI 1073548996 - Chiropractor - 111N00000X

NPI Details
NPI 1073548996
Gender Female
Enumeration Date 07/11/2006
Last Updated 08/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
224 N FAIRVIEW ROAD
ROCKY MOUNT NC, 27801, US
Phone (252) 446-7246
Fax (252) 446-5407
Business Location
PO BOX 7353
ROCKY MOUNT NC, 27804, US
Phone (252) 446-7246
Fax (252) 446-5407
Toxanomy
Taxonomy Code 111N00000X
License State North Carolina
License Number 2876
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According to our database, Dr. Traci D Clark DC NPI is 1073548996, taxonomy code is 111N00000X and license number is 2876, license state is located at North Carolina. Traci D Clark DC physically located at 224 N Fairview Road, Rocky Mount NC, 27801. NPI Number Traci D Clark DC has the Individual type.

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1073548996 NPI number is provided on an as is basis without warranty of any kind. 1073548996 is maintained by the National Plan & Provider Enumeration System. The contents of Traci D Clark DC are for informational purposes only.