Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tavia Denise Clark, MD

Individual provider Pediatrics Physician · NPI 1851667380

Dr. Tavia Denise Clark, MD is a Pediatrics Physician in Gastonia, North Carolina. Practices as a sole proprietor. Licensed in Massachusetts, North Carolina, Oregon and Pennsylvania and 1 more.

Licensed in
MA, NC, OR, PA, WA
In the registry since
2012
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2525 Court Dr
Gastonia, NC 28054-2140
Phone: (704) 834-2000
Fax: (704) 834-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2015-02140 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 264842 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence MD174941 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence MD60584128 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence MD455243 (PA)

Record details

NPI number1851667380
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2012
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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