Organization
NORTON CLARK PHYSICIAN PRACTICES, LLC
Active
Other names
Clark Memorial Clinic Connection
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GAST (VP MANAGED CARE)
(502) 272-5335
Entity
Organization
Contact information
Practice address
2021 MERCY WAY, STE 102, JEFFERSONVILLE, IN 47130
(812) 252-0258
(812) 252-0315
Mailing address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/29/2017
Last updated
11/07/2023
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