Gwaltney, Clark R.

Gwaltney, Clark R. is an sole proprietor health care provider with primary practice located at 848 Adams Ave , Memphis TN 38103-2816. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Gwaltney, Clark R. can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
848 Adams Ave Memphis TN 38103-2816
Phone: (901) 287-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 29917 Tennessee

Profile Details

NPI number 1922771195
LBN Legal business name Gwaltney, Clark R.
Credentials DNP-PACNP, RNFA, CPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2021
Last updated Apr 10th, 2024 - about 2 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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