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Dustin Michael Clark, MD
Student in an Organized Health Care Education/Training Program in Greeneville, Tennessee
NPI 1285831644

Dustin Michael Clark is a Student in an Organized Health Care Education/Training Program based in Johnson City, TN. Dustin Michael Clark practices in Greeneville, TN and has the professional credentials of MD. The NPI Number for Dustin Michael Clark is 1285831644 and holds a License No. 50872 (Tennessee).

The current practice location address for Dustin Michael Clark is 1420 Tusculum Blvd, Greeneville, TN and can be reached out via phone at 423-787-5000.

Location: 1420 Tusculum Blvd, Greeneville, TN, 37601-2114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285831644
Provider Name
Dustin Michael Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1420 Tusculum Blvd, Greeneville, TN, 37601-2114
Phone Number
423-787-5000
Fax Number
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39020000X 01 TX RESIDENT IN TRAINING
institution
Provider Business Practice Location Address Details
Address
1420 Tusculum Blvd
City
Greeneville
State
Tennessee
Zip
37745
Phone Number
423-787-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1420 Tusculum Blvd
City
Greeneville
State
Tennessee
Zip
37745
Phone Number
423-787-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
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Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
50872 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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