Individual
MS. SHANNON M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(615) 345-5400
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(615) 345-5400
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
09/28/2020
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