Individual
TYLER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3000
Mailing address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-02518
NC
207R00000X
Internal Medicine Physician
71924
GA
208M00000X
Hospitalist Physician
071924
GA
Other
Enumeration date
06/30/2011
Last updated
06/13/2020
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