Individual
DR. JAMEEL TAMIR CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4420 DIXIE HWY STE 126, LOUISVILLE, KY 40216-2994
(502) 810-3780
(502) 394-3607
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002969
GA
208000000X
Pediatrics Physician
47695
TN
208000000X
Pediatrics Physician
Primary
TP415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525008
—
TN
Enumeration date
06/25/2008
Last updated
03/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us