VIVIAN M CLARK

ELIZABETHTON, TN
NPI1205889508
Former NameVIVIAN L. MERCADO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: TN  39360)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TN  MD39360)
Enumeration Date2006-05-18
Last Update Date2018-03-17
Business Address
VIVIAN M CLARK M.D.
1503 W ELK AVE SUITE 5
ELIZABETHTON, TN 37643-2876
Phone number: 423-542-0400
Mailing Address
VIVIAN M CLARK M.D.
1503 W ELK AVE SUITE 5
ELIZABETHTON, TN 37643-2876
Phone number: 423-542-0400