Individual
DR. CRAIG ANTHONY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 BURTON HILLS BLVD, SUITE 375, NASHVILLE, TN 37215-6140
(615) 327-4877
(615) 327-4881
Mailing address
30 BURTON HILLS BLVD, SUITE 375, NASHVILLE, TN 37215-6140
(615) 327-4877
(615) 327-4881
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000019947
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163480
BCBS
TN
05
—
3074363
—
TN
Enumeration date
09/20/2006
Last updated
07/08/2007
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