| NPI | 1629489075 |
|---|---|
| Doing Business As | CLARK DIGESTIVE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Director 615-202-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2017-09-27 |