person
Dennis Dewayne Clark, MD
Specialist in Anniston, Alabama
NPI 1356313969

Dennis Dewayne Clark is a Specialist based in Anniston, AL. Dennis Dewayne Clark practices in Anniston, AL and has the professional credentials of MD. The NPI Number for Dennis Dewayne Clark is 1356313969 and holds a License No. 23397 (Alabama).

The current practice location address for Dennis Dewayne Clark is 111 Town Center Dr, Anniston, AL and can be reached out via phone at 256-237-1624 and via fax at 256-238-0555.

Location: 111 Town Center Dr, Anniston, AL, 36205-0430
person
Provider Profile Details
NPI Number
1356313969
Provider Name
Dennis Dewayne Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Town Center Dr, Anniston, AL, 36205-0430
Phone Number
256-237-1624
Fax Number
256-238-0555
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020048856 01 AL UNITED HEALTHCARE
51097064 01 AL BLUE CROSS BLUE SHIELD
000097064 05 AL
institution
Provider Business Practice Location Address Details
Address
111 Town Center Dr
City
State
Zip
36205-4101
Phone Number
256-237-1624
Fax Number
256-238-0555
person
Provider Business Mailing Address Details
Address
111 Town Center Dr
City
State
Zip
36205-4101
Phone Number
256-237-1624
Fax Number
256-238-0555
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
23397 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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