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Organization
JOHN T CLARDY SR MD INC
Active
Organization
JOHN T CLARDY SR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMAS CLARDY SR. M.D (PRESIDENT/PHYSCIAN)
(931) 503-0182
Entity
Organization
Contact information
Practice address
215 8TH ST, CLARKSVILLE, TN 37040-3249
(931) 503-0182
(931) 503-0192
Mailing address
215 8TH ST, CLARKSVILLE, TN 37040-3249
(931) 503-0182
(931) 503-0192
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD0000030062
TN
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
MD0000030062
TN
Other
Enumeration date
10/22/2007
Last updated
01/21/2008
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