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Search › Tennessee › 207R00000X

Vivian Clark, M.D

NPI 1205889508 · on the registry since 2006 · sole proprietor

Practice

Address
1503 W Elk Ave
Suite 5
Elizabethton, TN 37643
Phone
(423) 542-0400
Fax
(423) 542-3265
Organisation at this address
Scott O Caudle
Riverside Pedatrics Pllc
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 146 Buck Creek Rd, Roan Mountain, TN
  • 1666 Hillview Dr, Elizabethton, TN
  • 1200 Spruce Ln, Elizabethton, TN
  • 1633 Hillview Dr, Elizabethton, TN

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee