Tyia S Clark
Pediatrics | Female
Tyia S Clark is a Winston Salem, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tyia S Clark is
3746 Vest Mill Rd, Winston Salem, North Carolina - 27103-2912. She can be contacted on phone at
336-713-0024.
Tyia S Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Tyia S Clark is
1124523188 which was assigned by NPPES on 29 Mar, 2018 and it was last updated on 29 Jun, 2021.
Tyia S Clark license number is
2021-01599 for Pediatrics (208000000X) in North Carolina.
Tyia S 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:
Tyia S Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tyia S Clark |
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| Gender : | Female |
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Business Address:
Tyia S 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 : | 3746 Vest Mill Rd
Winston Salem, NC, 27103-2912
United States |
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| Phone Number : | 336-713-0024 |
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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 : | 1124523188 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Mar, 2018 |
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| Last Updated On : | 29 Jun, 2021 |
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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 Tyia S Clark are as mentioned. Primary taxonomy code for Tyia S Clark is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2021-01599 | NC |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
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 : | 3746 Vest Mill Rd
Winston Salem, NC, 27103-2912
United States |
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| Phone Number : | 336-713-0024 |
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Business Location:
Patients can refer following map for directions to
Tyia S 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.