DR. TRACI D CLARK (NPI# 1073548996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073548996 |
| Entity Type | Individual |
| Full Name | DR. TRACI D CLARK |
| Credential | DC |
| Practice Address |
224 N Fairview Road Rocky Mount NC 27801 |
| Mailing Address |
Po Box 7353 Rocky Mount NC 27804 |
| Practice Telephone | 2524467246 |
| Practice Fax Number | 2524465407 |
| Mailing Telephone | 2524467246 |
| Mailing Fax Number | 2524465407 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2876 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89085PH | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447629738 | Traci B Clark | Counselor | 110 Lake Powell Dr, West Monroe, LA 71292-2107 | 2015-09-17 |
| 1447471735 | Traci D Clark | Occupational Therapy Assistant | 910 W Walnut St, Albany, IN 47320-1530 | 2007-05-02 |
| Street Address |
224 N FAIRVIEW ROAD |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070215 | My Guardian Angel Family Care Home | Custodial Care Facility | 514 Cokey Road, Rocky Mount, NC 27801 | 2020-10-15 |
| 1487268660 | Tiambra Armeire Battle | Occupational Therapist | 1900 Windsor Drive, Rocky Mount, NC 27801 | 2020-09-03 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| 1891290466 | Your Best Life Awaits Counseling & Coaching Institute, Pllc | Clinic/Center | 107 Se Main St Suite 203, Rocky Mount, NC 27801 | 2018-03-27 |
| 1922352434 | Southern Mattress Co. Inc. | Durable Medical Equipment & Medical Supplies | 1812 Cokey Road, Rocky Mount, NC 27801 | 2012-11-06 |
| 1275805046 | Kota Transport Service LLC | Non-emergency Medical Transport (VAN) | 1125 South Cambridge Circle, Rocky Mount, NC 27801 | 2012-02-08 |
| 1750543781 | Jones and Jones Enterprises LLC | Community/Behavioral Health | 907 East Holly Street, Rocky Mount, NC 27801 | 2008-07-01 |
| 1235316035 | Claire Smith | Pharmacist | 130 Sw Main Street, Almand's Drug Store, Rocky Mount, NC 27801 | 2008-01-24 |
| 1104007723 | House of Hope | Clinic/Center | 2416 Sheve Rd., Rocky Mount, NC 27801 | 2007-11-26 |
| 1376724039 | Brenda W Bryan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2001 Vernon Rd, Rocky Mount, NC 27801 | 2007-11-21 |
| Find all providers in zip 27801 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023452778 | Treanor Chiropractic Inc | Chiropractor | 4161 Capital Dr., Rocky Mount, NC 27804-3128 | 2013-04-24 |
| 1780916122 | Michelle Rebecca Severson | Chiropractor | 920 Tanyard Rd, Suite 102, Rocky Mount, VA 24151-1543 | 2010-02-10 |
| 1669624540 | Miller Chiropractic of Rocky Mount, PC | Chiropractor | 1258 Home Depot Plz, Rocky Mount, NC 27804-8483 | 2008-10-22 |
| 1811036270 | Tiffany Grace Huffman | Chiropractor | 1533 Franklin St, Rocky Mount, VA 24151-6388 | 2007-02-05 |
| 1952455875 | Rocky Mount Chiropractic Inc | Chiropractor | 546 Pell Ave, Rocky Mount, VA 24151 | 2007-01-22 |
| 1912065277 | Becker Clinic Ltd | Chiropractor | 1533 Franklin Street, Rocky Mount, VA 24151 | 2006-12-05 |
| 1881760999 | Labarbera Chiropractic & Wellness Center, Incorporated | Chiropractor | 60 Meadow View Ave, Unit 100, Rocky Mount, VA 24151-6824 | 2006-11-28 |
| 1952476244 | Accident and Injury Chiropractic PC | Chiropractor | Accident and Injury Chiropractic PC, 20385 Virgil H Goode Hwy Ste 1, Rocky Mount, VA 24151 | 2006-11-21 |
| 1023189065 | Edgecombe Chiropractic Inc | Chiropractor | 224 N Fairviews Road, Rocky Mount, NC 27801 | 2006-11-13 |
| 1124036058 | Steven Alan Clark | Chiropractor | 2747 Sunset Ave, Rocky Mount, NC 27804-3751 | 2006-08-04 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27801 |
Please comment or provide details below to improve the information on DR. TRACI D CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.