Clark, Crystal Dawn

Clark, Crystal Dawn is an individual health care provider with primary practice located at 1605 Nashville Hwy Ste 200 , Columbia TN 38401-2132. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Clark, Crystal Dawn can be contacted via phone (931) 540-4210.

Contact Information

Primary practice address
1605 Nashville Hwy Ste 200 Columbia TN 38401-2132
Phone: (931) 540-4210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 36529 Tennessee

Profile Details

NPI number 1457195380
LBN Legal business name Clark, Crystal Dawn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 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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