| NPI | 1841953783 |
|---|---|
| Doing Business As | CLARK CLINIC PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MONICA BOWMAN President 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-02-07 |