Individual
DR. JAMES WARNER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 LIMESTONE RURITAN RD, LIMESTONE, TN 37681-2515
(423) 257-8089
(423) 257-5179
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 257-8089
(423) 257-5179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010178
—
TN
01
—
61386
BCBST
TN
Enumeration date
06/13/2005
Last updated
01/26/2010
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