# CLARKSDALE REGIONAL PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarksdale Campbell Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386184554
- **Authorized official:** STEVE CLAPP (PRESIDENT)
- **Authorized official phone:** (865) 269-4074

## Contact information

- **Practice address:** 785 OHIO AVE, SUITE 3G, CLARKSDALE, MS 38614
- **Practice address phone:** (662) 624-8000
- **Mailing address:** 1721 MIDPARK RD, SUITE B200, KNOXVILLE, TN 37921-5977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/07/2017
- **Last updated:** 01/24/2019