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Clark Family Clinic, Llc
Primary Care Clinic/Center in Bolivar, Tennessee
NPI 1801391719

Clark Family Clinic, Llc is a Primary Care Clinic/Center based in Bolivar, TN and is specialized in Primary Care. Clark Family Clinic, Llc practices in Bolivar, TN. The NPI Number for Clark Family Clinic, Llc is 1801391719 and holds a License No. (Tennessee).

The current practice location address for Clark Family Clinic, Llc is 649B W Mcneal St, Bolivar, TN and can be reached out via phone at 731-212-3324 and via fax at 731-212-3325.

Location: 649B W Mcneal St, Bolivar, TN, 38008-0342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801391719
Provider Name
Clark Family Clinic, Llc
Credential
Provider Entity Type
Organization
Address
649B W Mcneal St, Bolivar, TN, 38008-0342
Phone Number
731-212-3324
Fax Number
731-212-3325
Provider Enumeration Date
03/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q008745 05 TN
institution
Provider Business Practice Location Address Details
Address
649B W Mcneal St
City
Bolivar
State
Tennessee
Zip
38008-2519
Phone Number
731-212-3324
Fax Number
731-212-3325
person
Provider Business Mailing Address Details
Address
649B W Mcneal St
City
Bolivar
State
Tennessee
Zip
38008-2519
Phone Number
731-212-3324
Fax Number
731-212-3325
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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