Provider Demographics
NPI:1235573379
Name:CLARY, MEREDITH MARIE (MD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:MARIE
Last Name:CLARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-713-0341
Mailing Address - Fax:336-713-0333
Practice Address - Street 1:101 CHARLOIS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1537
Practice Address - Country:US
Practice Address - Phone:336-713-0341
Practice Address - Fax:336-713-0333
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2022-03087207RG0100X
CAA142731207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology