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Organization
NORTON CLARK PHYSICIAN PRACTICES, LLC
Active
Organization
NORTON CLARK PHYSICIAN PRACTICES, LLC
Active
Other names
Clark Memorial Clinic Connection
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GAST (VP MANAGED CARE)
(502) 272-5335
Entity
Organization
Contact information
Practice address
2021 MERCY WAY, STE 102, JEFFERSONVILLE, IN 47130
(812) 252-0258
(812) 252-0315
Mailing address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/29/2017
Last updated
11/07/2023
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