Healthcare Provider Details

I. General information

NPI: 1245765544
Provider Name (Legal Business Name): DR TERRY SINCLAIR HEALTH CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N CAMERON ST SUITE 100
WINCHESTER VA
22601
US

IV. Provider business mailing address

301 N CAMERON ST SUITE 100
WINCHESTER VA
22601
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-1680
  • Fax: 540-662-5321
Mailing address:
  • Phone: 540-536-1680
  • Fax: 540-662-5321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATRINA R MCCLURE
Title or Position: EXECUTIVE DIRECTOR
Credential: MPH
Phone: 540-536-1681