Individual
ANDREW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BARBERRY DR, KNOXVILLE, TN 37912
(865) 804-4535
Mailing address
100 BARBERRY DR, KNOXVILLE, TN 37912
(865) 804-4535
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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