Individual provider · Type 1 NPI
Douglas Marley Clark, PAC
Medical Physician Assistant · Harriman, TN
NPI number
1487682498
Active
Practice location
2317 S Roane St, Community Care Walk In Clinic
Harriman, TN 37748-8653
Fax (865) 590-0069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA000000019 (TN) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1487682498
Douglas Marley Clark, PAC's National Provider Identifier is 1487682498, issued on Jun 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Harriman, TN. The record was last updated on Feb 15, 2012.