Clark, Pamela A.

Clark, Pamela A. is an individual health care provider with primary practice located at 910 Blackford St Ste. 420, Chattanooga TN 37403-1405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Clark, Pamela A. can be contacted via phone (423) 778-6405.

Contact Information

Primary practice address
910 Blackford St Ste. 420 Chattanooga TN 37403-1405
Phone: (423) 778-6405
Fax: (423) 778-5522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 54205 Tennessee

Profile Details

NPI number 1851364277
LBN Legal business name Clark, Pamela A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Feb 8th, 2017 - about 9 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 1851364277 NPPES
Tennessee MEDICAID Q021551

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