David Ray Clark IV
NPI #1083476733 in South Pittsburg, Tennessee
Provider Information
- NPI Number
- 1083476733
- Entity Type
- Individual
- Name
- David Ray Clark IV
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Jan 29, 2024
Practice Location
- Address
- 109 6TH ST
- City
- South Pittsburg
- State
- Tennessee
- ZIP Code
- 37380-1331
- Phone
- (423) 838-2780
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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