Individual
MARK S CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 BEARDEN RD, CLARKSVILLE, TN 37043-8719
(231) 884-2642
Mailing address
2340 BEARDEN RD, CLARKSVILLE, TN 37043-8719
(231) 884-2642
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
23108
MI
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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