Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIVIAN M CLARK, M.D.
Active Sole ProprietorVIVIAN M CLARK, M.D. is a Internal Medicine healthcare provider located in ELIZABETHTON, Tennessee. NPI 1205889508 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · ELIZABETHTON, TN
Registration Details
- NPI Number
- 1205889508
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2006 (20.09513652874 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
MD39360 (TN)39360 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1503 W ELK AVESUITE 5ELIZABETHTON, TN, 376432876Browse TN providers · Browse ZIP 37643
- Phone
- 4235420400
- Fax
- 4235423265
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in ELIZABETHTON, TN
| Name | Credential | NPI |
|---|---|---|
| JONATHAN SCOTT BREMER | M.D. | 1336181239 |
| DAVID KENNETH FENNER | MD | 1124119458 |
| ROBERT EDMUND WALTER | MD | 1780774570 |
| DR. MICHELLE LEE DAVENPORT | M.D. | 1497813026 |
| ABIGAIL GASS | M.D. | 1043531932 |
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.