Clark, Rodney Lee

Clark, Rodney Lee is an individual health care provider with primary practice located at 4800 E Johnson Ave , Jonesboro AR 72401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Clark, Rodney Lee can be contacted via phone (870) 936-1000.

Contact Information

Primary practice address
4800 E Johnson Ave Jonesboro AR 72401
Phone: (870) 936-1000
Fax: (870) 936-2038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-8118 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-8118 Arkansas

Profile Details

NPI number 1649590886
LBN Legal business name Clark, Rodney Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Jun 13th, 2018 - about 6 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 1649590886 NPPES
Arkansas MEDICAID 201987001

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