NPI | 1144663220 |
---|---|
Doing Business As | CLARK DIGESTIVE CARE CENTER |
Entity Type | Organization |
Authorized Contact | JESS N JUDY President 615-372-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2013-04-09 |
Last Update Date | 2015-03-10 |