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1700029626
GRANT MICHAEL CLARK
KNOXVILLE, TN
NPI
1700029626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: TN 51020)
Enumeration Date
2009-04-07
Last Update Date
2023-09-08
Business Address
Dr. GRANT MICHAEL CLARK M.D.
1915 WHITE AVENUE
KNOXVILLE, TN 37916-2399
Phone number: 865-331-1155
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Mailing Address
Dr. GRANT MICHAEL CLARK M.D.
P.O. BOX 24120
KNOXVILLE, TN 37933-2120
Phone number: 865-803-4321
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