Individual
DR. TRACI D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
224 N FAIRVIEW ROAD, ROCKY MOUNT, NC 27801
(252) 446-7246
(252) 446-5407
Mailing address
PO BOX 7353, ROCKY MOUNT, NC 27804
(252) 446-7246
(252) 446-5407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2876
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89085PH
—
NC
Enumeration date
07/11/2006
Last updated
08/14/2007
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