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Individual

STEPHEN WESLEY CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 HIGHLAND TER STE D, MURFREESBORO, TN 37130-2496
(615) 802-5900
Mailing address
8539 HEIRLOOM BLVD, COLLEGE GROVE, TN 37046-1439
(615) 983-1063

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD0000047319
TN
2084N0400X
Neurology Physician
Primary
MD47319
TN

Other

Enumeration date
07/17/2007
Last updated
01/11/2023
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