Organization
CLARK CLINICAL CONSULTING LLC
Active
Other names
CC Chiropractic Health & Wellness Telehealth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEIRDRE V CLARK DC, ND (CEO)
(704) 266-3250
Entity
Organization
Contact information
Practice address
10926 DAVID TAYLOR DR STE 120, CHARLOTTE, NC 28262-0039
(704) 266-3250
(704) 266-3250
Mailing address
10926 DAVID TAYLOR DR STE 120, CHARLOTTE, NC 28262-0039
(704) 266-3250
(704) 266-3250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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