| John T Clardy Sr Md Inc | |
|
215 8th St Clarksville TN 37040-3249 | |
| (931) 503-0182 | |
| (931) 503-0192 |
| Full Name | John T Clardy Sr Md Inc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 215 8th St, Clarksville, Tennessee |
| Authorized Official Name and Position | John Thomas Clardy (PRESIDENT/PHYSCIAN) |
| Authorized Official Contact | 9315030182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Clardy Sr Md Inc 215 8th St Clarksville TN 37040-3249 Ph: (931) 503-0182 | John T Clardy Sr Md Inc 215 8th St Clarksville TN 37040-3249 Ph: (931) 503-0182 |
| NPI Number | 1215126644 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 01/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215126644 | NPI | - | NPPES |
| 38298152 | Medicaid | TN | |
| 38298151 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD0000030062 (Tennessee) | Primary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | MD0000030062 (Tennessee) | Secondary |
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