Dr. Tavia Denise Clark
M.D. | Pediatrics | Female
Dr. Tavia Denise Clark, M.D. is a Durham, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Tavia Denise Clark is
7 Kerr Ct, Durham, North Carolina - 27713-8919. She can be contacted on phone at
319-230-4212.
Dr. Tavia Denise Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Tavia Denise Clark is
1851667380 which was assigned by NPPES on 29 Mar, 2012 and it was last updated on 12 Jul, 2016.
Dr. Tavia Denise Clark license number is
264842 for Pediatrics (208000000X) in Massachusetts.
Dr. Tavia Denise Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Tavia Denise Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Tavia Denise Clark |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Tavia Denise Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7 Kerr Ct
Durham, NC, 27713-8919
United States |
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| Phone Number : | 319-230-4212 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1851667380 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Mar, 2012 |
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| Last Updated On : | 12 Jul, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tavia Denise Clark are as mentioned. Primary taxonomy code for Dr. Tavia Denise Clark, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD174941 | OR |
| 208000000X | Pediatrics | No | MD60584128 | WA |
| 208000000X | Pediatrics | No | MD455243 | PA |
| 208000000X | Pediatrics | No | 211260 | NC |
| 208000000X | Pediatrics | Yes | 264842 | MA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7 Kerr Ct
Durham, NC, 27713-8919
United States |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Tavia Denise Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.