Organization
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Active
Other names
Clark Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 202-9581
Entity
Organization
Contact information
Practice address
225 HOSPITAL DR, SUITE 300A, WINCHESTER, KY 40391-7676
(859) 737-6555
(859) 737-6650
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7905
(615) 920-8935
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
06/05/2013
Last updated
09/27/2017
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