Individual
CAITLIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3275
Mailing address
4631 CEDAR GARDEN LN, BELDEN, MS 38826-8201
(901) 484-8808
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
29220
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
09/26/2022
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