Clark Family Clinic, LLC

NPI #1801391719 in Bolivar, Tennessee

Provider Information

NPI Number
1801391719
Entity Type
Organization
Organization Name
Clark Family Clinic, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 24, 2018
Last Updated
Mar 24, 2018

Practice Location

Address
649B W MCNEAL ST
ZIP Code
38008-2519
Phone
(731) 212-3324

Authorized Official

Name
MRS. CHARLENE E CLARK, MSN-APRN
Title
FAMILY NURSE PRACITITIONER
Phone
(901) 500-5766

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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