Individual
MS. PEYTON LAIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5437
Mailing address
8571 HEIRLOOM BLVD APT SUITE, COLLEGE GROVE, TN 37046-1439
(262) 617-5360
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5890
TN
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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