Individual provider · NPI-1

Stephen Wesley Clark, MD

Psychiatry & Neurology, Neurology · Murfreesboro, TN

NPI number1992904049
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1992904049
Entity type
Individual (NPI-1)
Name
Stephen Wesley Clark
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 17, 2007
Certification date
Jan 11, 2023
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyMD47319TNYes
2084N0008X Psychiatry & Neurology, Neuromuscular MedicineMD0000047319TN

Practice location

520 Highland Ter Ste D
Murfreesboro, TN 37130-2496

Phone 615-802-5900

Mailing address

8539 Heirloom Blvd
College Grove, TN 37046-1439

Phone 615-983-1063

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