Individual
CORBIN ROSS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 BELCOURT AVE STE 201, NASHVILLE, TN 37212-3540
(615) 322-2377
Mailing address
9671 WILTSHIRE DR, OOLTEWAH, TN 37363-4885
(209) 769-5473
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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