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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEIRDRE V CLARK, DC, ND, CHT, CCRA

Active Sole Proprietor

DR. DEIRDRE V CLARK, DC, ND, CHT, CCRA is a Chiropractor healthcare provider located in CHARLOTTE, North Carolina. NPI 1053615989 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · CHARLOTTE, NC

Registration Details

NPI Number
1053615989
Provider Type
Individual
Gender
Female
NPI Issued
Jan 6, 2011 (15.619482344875 yrs)
Last Updated
Aug 27, 2020
Licenses
5172 (NC)
5171 (NC)
Sole Proprietor
Yes

Practice Information

Address
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC, 282621042
Browse NC providers · Browse ZIP 28262
Phone
7042663250
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Case Manager
Additional Specialty
1744R1102X
Additional Specialty
Naturopath

Other Chiropractor Providers in CHARLOTTE, NC

Name Credential NPI
MS. DEBORA L HEFLIN DC 1295734572
DR. LEMUEL P BYRD JR. DC 1205835543
DR. THOMAS M BROWN DC 1912907189
DR. NICOLE MAURA HUGHES-TURPIN DC 1780684001
DR. THOMAS JASON PERMENTER DC 1164422192
DR. STEVEN S ENGLISH DC 1558362400
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.