Traci D Clark is a Chiropractor in Rocky Mount, North Carolina. Traci D Clark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Traci D Clark is 1073548996. The last update date is 2007-08-14.
Traci D Clark's current location address is Po Box 7353, Rocky Mount, North Carolina. You can contact this provider via phone number 2524467246 and fax number 2524465407. The mailing address for Traci D Clark is Po Box 7353, Rocky Mount, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci D Clark |
|---|---|
| Address | Po Box 7353, Rocky Mount, North Carolina |
| Phone Number | 2524467246 |
| Fax Number | 2524465407 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1073548996 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | Po Box 7353 |
|---|---|
| City | Rocky Mount |
| State | North Carolina (NC) |
| Post Code | 27804 |
| Phone Number | 2524467246 |
| Fax Number | 2524465407 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2876 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89085PH | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Traci D Clark?
The Traci D Clark has been issued the NPI (National Provider Identifier) 1073548996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Traci D Clark is geographically located?
The Traci D Clark is physically situated at the following location: Po Box 7353, Rocky Mount, NC, 27804.
What is Traci D Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Traci D Clark's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did Traci D Clark receive its 1073548996 assignment?
The Traci D Clark was assigned its 1073548996 on 2006-07-11, which is the date when this unique identifier was issued to the organization.
As of what date were the Traci D Clark's details last updated?
The information pertaining to the Traci D Clark, including its address, specialty, and other details, was most recently updated on 2007-08-14.