Individual
DR. AMY T CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
203 AVALON AVE, SUITE 120, MUSCLE SHOALS, AL 35661-2869
(256) 383-6070
(256) 381-4022
Mailing address
PO BOX 298, FLORENCE, AL 35631-0298
(256) 767-7494
(256) 760-8432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.34340
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03808531
—
MS
01
—
P01332517
RAILROAD MEDICARE
MS
Enumeration date
07/08/2011
Last updated
09/14/2015
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