Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD GARY CLARK, MD
ActiveDR. RICHARD GARY CLARK, MD is a Internal Medicine healthcare provider located in JAMESTOWN, Tennessee. NPI 1962406793 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · JAMESTOWN, TN
Registration Details
- NPI Number
- 1962406793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.000710546939 yrs)
- Last Updated
- Mar 25, 2024
- Licenses
-
11080 (TN)11080 (TN)11080 (TN)
Practice Information
- Address
-
100 S DUNCAN STJAMESTOWN, TN, 385563009Browse TN providers · Browse ZIP 38556
- Phone
- 9318795864
- Fax
- 9318793903
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Internal Medicine
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.