Stephen Wesley Clark in College Grove - Neurology
Stephen Wesley Clark - NPI 1992904049
Stephen Wesley Clark is a Neurology in College Grove, Tennessee. Stephen Wesley Clark practices all healthcare services and medical treatments related to Neurology. The NPI Number for Stephen Wesley Clark is 1992904049. The last update date is 2023-01-11.
Stephen Wesley Clark's current location address is 8539 Heirloom Blvd, College Grove, Tennessee. You can contact this provider via phone number 6159831063. The mailing address for Stephen Wesley Clark is 8539 Heirloom Blvd, College Grove, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Wesley Clark |
|---|---|
| Address | 8539 Heirloom Blvd, College Grove, Tennessee |
| Phone Number | 6159831063 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992904049 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2023-01-11 |
Provider Mailing Address Detail
| Address | 8539 Heirloom Blvd |
|---|---|
| City | College Grove |
| State | Tennessee (TN) |
| Post Code | 370461439 |
| Phone Number | 6159831063 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | MD47319 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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What is the unique identifier code issued to Stephen Wesley Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Wesley Clark has been assigned the NPI (National Provider Identifier) 1992904049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Stephen Wesley Clark located?
The Stephen Wesley Clark is located at 8539 Heirloom Blvd, College Grove, TN 370461439.
What is Stephen Wesley Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Wesley Clark's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.
When did the Stephen Wesley Clark receive its 1992904049?
The Stephen Wesley Clark was issued its 1992904049 on 2007-07-17, which is the date when the organization was assigned this unique identifier.
As of what date were the Stephen Wesley Clark's details last updated?
The information pertaining to the Stephen Wesley Clark, including its address, specialty, and other details, was most recently updated on 2023-01-11.
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