Individual provider · Type 1 NPI

Tyia Shay Clark

Pediatrics Physician · Winston Salem, NC

NPI number 1124523188 Active

Practice location

3746 Vest Mill Rd
Winston Salem, NC 27103-2912

Other practice locations

  • 6602 Knightdale Blvd Ste 204, Knightdale, NC 27545-6567 · (919) 782-5273

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician Primary 208000000X2021-01599 (NC)

Pediatrics Physician: 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 de…

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About NPI 1124523188

Tyia Shay Clark's National Provider Identifier is 1124523188, issued on Mar 29, 2018. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 14, 2023.