Individual
WILLIAM RAY CLARK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1244 PRIMACY PKWY, MEMPHIS, TN 38119-0201
(901) 641-3000
(901) 767-8666
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3360
TN
363AS0400X
Surgical Physician Assistant
3360
TN
Other
Enumeration date
08/08/2017
Last updated
06/17/2019
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