Individual
DR. ERIC WALTER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MTSU STUDENT HEALTH, 1500 GREENLAND AVE BOX 237, MURFREESBORO, TN 37132-0001
(615) 494-7601
(615) 898-5004
Mailing address
MTSU STUDENT HEALTH BOX 237, 1500 GREENLAND AVENUE, MURFREESBORO, TN 37132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000028457
TN
Other
Enumeration date
12/05/2006
Last updated
08/13/2007
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