| Douglas Marley Clark, PAC | |
|
2317 S Roane St, Community Care Walk In Clinic, Harriman, TN 37748-8653 | |
| (865) 590-0072 | |
| (865) 590-0069 |
| Full Name | Douglas Marley Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2317 S Roane St, Harriman, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487682498 | NPI | - | NPPES |
| 3723702 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA000000019 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Marley Clark, PAC 2317 S Roane St, Harriman, TN 37748-8653 Ph: (865) 590-0072 | Douglas Marley Clark, PAC 2317 S Roane St, Community Care Walk In Clinic, Harriman, TN 37748-8653 Ph: (865) 590-0072 |
Gregory T Morgan Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8045 Roane Medical Center Dr, Harriman, TN 37748 Phone: 180-046-5320 | |
Melissa Y Benton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-4112 | |
Patrecia Elise Eaton, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2497 South Roane St, Ste 240, Harriman, TN 37748 Phone: 865-590-0889 Fax: 865-590-0884 |