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Organization

CLARK REGIONAL PHYSICIAN PRACTICES LLC

Active
Other names
Clark Digestive Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 202-9581
Entity
Organization

Contact information

Practice address
225 HOSPITAL DR, STE 200B, WINCHESTER, KY 40391-7676
(859) 737-6488
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7905
(615) 920-8935

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
05/19/2014
Last updated
09/27/2017
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