Douglas Clark

NPI #1487756755 in Harriman, Tennessee

Provider Information

NPI Number: 1487756755
Entity Type: Organization
Organization Name: Douglas Clark
Primary Specialty: Family Medicine
Enumeration Date: Sep 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2317 SOUTH ROANE STREET
City: Harriman
State: Tennessee
ZIP Code: 37748
Phone: (865) 590-0072

Authorized Official

Name: MR. DOUGLAS MARLEY CLARK, PAC
Title: OWNER
Phone: (865) 590-0072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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