Individual
CYNTHIA DAWN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1420 N GATEWAY AVE, ROCKWOOD, TN 37854
(865) 354-7799
Mailing address
1420 N GATEWAY AVE, ROCKWOOD, TN 37854-4111
(865) 354-7799
(865) 354-7797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22984
TN
Other
Enumeration date
08/28/2017
Last updated
06/23/2020
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