Caitlin Clark, M.D.
Hospitalist in Tupelo, MS. Individual provider (NPI-1).
NPI number1750776290
StatusActive
Last updated in NPPESSep 26, 2022
Details
- NPI
- 1750776290
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Clark
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2015
- Certification date
- Sep 26, 2022
- Last updated
- Sep 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 29220 | MS | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
830 S Gloster StTupelo, MS 38801-4996
Phone 662-377-3275
Mailing address
4631 Cedar Garden LnBelden, MS 38826-8201
Phone 901-484-8808
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