NPI 1487756755
Douglas Clark
Practice location
- Address
- 2317 South Roane Street, Harriman, TN 37748
- Phone
- (865) 590-0072
- Fax
- (865) 590-0069
Authorised official
- Name
- Douglas Marley Clark
- Title
- Owner
- Phone
- (865) 590-0072
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1487756755
- Entity type
- Organization
- NPI issued
- 5 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.