Dr. James Warner Clark, MD
Family Medicine in Limestone, TN. Individual provider (NPI-1).
NPI number1982608428
StatusActive
Last updated in NPPESJan 26, 2010
Details
- NPI
- 1982608428
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Warner Clark
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2005
- Last updated
- Jan 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 15468 | TN | Yes |
Practice location
105 Limestone Ruritan RdLimestone, TN 37681-2515
Phone 423-257-8089 · Fax 423-257-5179
Mailing address
Po Box 850Rogersville, TN 37857-0850
Phone 423-257-8089 · Fax 423-257-5179
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