Individual
STEPHEN DENNIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
493 LANTANA RD, CROSSVILLE, TN 38555-4946
(931) 335-9919
(931) 335-9954
Mailing address
493 LANTANA RD, CROSSVILLE, TN 38555-4946
(931) 335-9919
(931) 335-9954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42144
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000928
—
TN
01
—
42144
TN MEDICAL LICENSE
TN
05
—
7100432890
—
KY
Enumeration date
09/05/2007
Last updated
05/04/2026
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