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Tyia Shay Clark
Pediatrics Physician in Winston Salem, North Carolina
NPI 1124523188

Tyia Shay Clark is a Pediatrics Physician based in Winston Salem, NC. Tyia Shay Clark practices in Winston Salem, NC. The NPI Number for Tyia Shay Clark is 1124523188 and holds a License No. (North Carolina).

The current practice location address for Tyia Shay Clark is 3746 Vest Mill Rd, Winston Salem, NC and can be reached out via phone at 336-713-0024.

Location: 3746 Vest Mill Rd, Winston Salem, NC, 27103-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124523188
Provider Name
Tyia Shay Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
3746 Vest Mill Rd, Winston Salem, NC, 27103-2912
Phone Number
336-713-0024
Fax Number
Provider Enumeration Date
03/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3746 Vest Mill Rd
City
Winston Salem
State
North Carolina
Zip
27103-2912
Phone Number
336-713-0024
Fax Number
person
Provider Business Mailing Address Details
Address
3746 Vest Mill Rd
City
Winston Salem
State
North Carolina
Zip
27103-2912
Phone Number
336-713-0024
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
2021-01599 (North Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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