Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID RAY CLARK IV
Active Sole ProprietorDAVID RAY CLARK IV is a In Home Supportive Care Agency healthcare provider located in SOUTH PITTSBURG, Tennessee. NPI 1083476733 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · SOUTH PITTSBURG, TN
Registration Details
- NPI Number
- 1083476733
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2024 (2.5759327297473 yrs)
- Last Updated
- Jan 29, 2024
- License
-
71446 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 6TH STSOUTH PITTSBURG, TN, 373801331Browse TN providers · Browse ZIP 37380
- Phone
- 4238382780
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.