Organization
NORTH CAROLINA NEUROPSYCHIATRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CLARK (PRACTICE ADMINISTRATOR)
(919) 785-5055
Entity
Organization
Contact information
Practice address
2080 ENERGY DR, APEX, NC 27502-8722
(919) 328-5573
(984) 235-1617
Mailing address
2080 ENERGY DR, APEX, NC 27502-8722
(919) 328-5573
(984) 235-1617
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230707
—
NC
Enumeration date
06/24/2020
Last updated
02/23/2023
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