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1174085955
JOSHUA CODY CLARK
JACKSON, TN
NPI
1174085955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TN 63538)
Enumeration Date
2019-04-02
Last Update Date
2022-06-20
Business Address
JOSHUA CODY CLARK MD
620 SKYLINE DR
JACKSON, TN 38301
Phone number: 731-541-5000
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Mailing Address
JOSHUA CODY CLARK MD
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number:
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