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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38298151
—
TN
05
—
38298152
—
TN
Enumeration date
10/22/2007
Last updated
01/21/2008
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