Organization
493 INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN D CLARK MD (OWNER)
(931) 335-9919
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
05/04/2026
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