Vivian M Clark, M.D.

NPI #1205889508 in Elizabethton, Tennessee

Provider Information

NPI Number: 1205889508
Entity Type: Individual
Name: Vivian M Clark, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 18, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 1503 W ELK AVE
Address 2: SUITE 5
City: Elizabethton
State: Tennessee
ZIP Code: 37643-2876
Phone: (423) 542-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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