Organization
NORTH CLARK PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SMITH CREDENTIALING (MANAGER)
(502) 244-9859
Entity
Organization
Contact information
Practice address
2100 MARKET ST STE 200, CHARLESTOWN, IN 47111-8507
(812) 503-5100
(770) 573-9513
Mailing address
1410 S CLARK BLVD STE 2100, CLARKSVILLE, IN 47129-3212
(502) 244-9859
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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