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 |