Organization
BLUE RIDGE GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC L. CLARK M.D. (PRESIDENT)
(423) 614-4000
Entity
Organization
Contact information
Practice address
110 DUNHILL PL NW, CLEVELAND, TN 37311-3883
(423) 614-4000
(423) 614-4107
Mailing address
110 DUNHILL PL NW, CLEVELAND, TN 37311-3883
(423) 614-4000
(423) 614-4107
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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