Clark, Charles Amos

Clark, Charles Amos is an individual health care provider with primary practice located at Vanderbilt University Dept Of Medicine D-3100, Medical Center North, Nashville TN 37232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Clark, Charles Amos can be contacted via phone (615) 322-0417.

Contact Information

Primary practice address
Vanderbilt University Dept Of Medicine D-3100, Medical Center North Nashville TN 37232
Phone: (615) 322-0417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 56206 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56206 Tennessee

Profile Details

NPI number 1649680406
LBN Legal business name Clark, Charles Amos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2014
Last updated Mar 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649680406 NPPES
Tennessee MEDICAID Q031277

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