Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS MARLEY CLARK, PAC
ActiveDOUGLAS MARLEY CLARK, PAC is a Medical Physician Assistant healthcare provider located in HARRIMAN, Tennessee. NPI 1487682498 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HARRIMAN, TN
Registration Details
- NPI Number
- 1487682498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2006 (20.086693263677 yrs)
- Last Updated
- Feb 15, 2012
- License
-
PA000000019 (TN)
Practice Information
- Address
-
2317 S ROANE STCOMMUNITY CARE WALK IN CLINICHARRIMAN, TN, 377488653Browse TN providers · Browse ZIP 37748
- Phone
- 8655900072
- Fax
- 8655900069
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in HARRIMAN, TN
| Name | Credential | NPI |
|---|---|---|
| PATRECIA ELISE EATON | PA | 1699704387 |
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.