Sara Ansley Clark
Specialist/Technologist, Other, Electroneurodiagnostic in Brentwood, TN. Individual provider (NPI-1).
NPI number1558087643
StatusActive
Last updated in NPPESOct 19, 2022
Details
- NPI
- 1558087643
- Entity type
- Individual (NPI-1)
- Name
- Sara Ansley Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2022
- Certification date
- Oct 19, 2022
- Last updated
- Oct 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
3 Maryland Farms Ste 200Brentwood, TN 37027-5780
Phone 800-348-4565 · Fax 888-468-6603
Mailing address
3 Maryland Farms Ste 200Brentwood, TN 37027-5780
Phone 800-348-4565 · Fax 888-468-6603
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