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Tyia Clark
NPI 1124523188 · on the registry since 2018
Practice
- Address
- 3746 Vest Mill Rd
Winston Salem, NC 27103 - Phone
- (336) 713-0024
- Organisation at this address
- Wake Forest University Baptist Medical Center Community Physicians
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 6602 Knightdale Blvd Ste 204, Knightdale, NC
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-14
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