Dr. Stephen Paul Clark, O.D.
Optometrist in Athens, TN. Individual provider (NPI-1).
NPI number1720004591
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720004591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen Paul Clark
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1668 | TN | Yes |
Practice location
902 W Madison AveAthens, TN 37303-3432
Phone 423-745-8882 · Fax 423-744-8428
Mailing address
Po Box 826Athens, TN 37371-0826
Phone 423-745-8882 · Fax 423-744-8428
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All 17 Optometrist providers in Athens · All 599 providers in Athens
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