493 Internal Medicine Pllc
NPI #1356994461 in Crossville, Tennessee
Provider Information
- NPI Number
- 1356994461
- Entity Type
- Organization
- Organization Name
- 493 Internal Medicine Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 17, 2019
- Last Updated
- Aug 5, 2019
Practice Location
- Address
- 493 LANTANA RD
- City
- Crossville
- State
- Tennessee
- ZIP Code
- 38555-4946
- Phone
- (931) 335-9919
Authorized Official
- Name
- STEPHEN D CLARK, MD
- Title
- OWNER
- Phone
- (931) 335-9919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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