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Individual

DR. CLARK DOWELL LEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 20TH AVE N, SUITE 103, NASHVILLE, TN 37203-2131
(615) 284-2532
(615) 284-2533
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08833
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3018840
TN
01
6045476
BCBS TN
TN
05
Q010232
TN
05
Q101232
TN
Enumeration date
11/10/2006
Last updated
05/10/2017
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