Provider Demographics
NPI:1528565736
Name:MUENYI, CLARISSE SORNSAY (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CLARISSE
Middle Name:SORNSAY
Last Name:MUENYI
Suffix:
Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 NASH MEDICAL ARTS MALL
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1470
Practice Address - Country:US
Practice Address - Phone:252-962-4550
Practice Address - Fax:252-962-4551
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-12
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC317072208600000X
NC2023-01706208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery