| NPI | 1114360583 |
|---|---|
| Doing Business As | CLARK REGIONAL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Director 615-202-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2017-09-27 |