Individual
TERRANCE P CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 TIMBERLANE DRIVE, WAYNESVILLE, NC 28786-7927
(828) 454-1098
(828) 454-9242
Mailing address
44 BONNIE LN, SYLVA, NC 28779-8511
(828) 586-5501
(828) 586-3965
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20250
NC
2084P0800X
Psychiatry Physician
MD34832
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89064CV
—
NC
Enumeration date
09/01/2005
Last updated
12/19/2011
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