SearchNorth Carolina111N00000X

Deirdre Clark, DC, ND, CHT, CCRA

NPI 1053615989 · on the registry since 2011 · sole proprietor

Practice

Address
10926 David Taylor Dr Ste 120
Charlotte, NC 28262
Phone
(704) 266-3250
Organisation at this address
Mylabtime
Joy Palace Llc
Kodiak Medical Pa
Galaxy Aba Nc Llc
Aba Grateful Care Nc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 3000 Midlantic Dr Ste 100, Mount Laurel, NJ

Registry record

Primary taxonomy
111N00000X
111N00000X
Also registered as
111NI0013X
111NI0013X
171M00000X
1744R1102X
175F00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina