David Ray Clark IV
David Ray Clark IV is an In Home Supportive Care Agency in South Pittsburg, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2024
Practice location Address checks out
109 6th StSouth Pittsburg, TN 37380-1331
Phone: (423) 838-2780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 71446 (TN) |
|---|
Record details
| NPI number | 1083476733 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2024 |
| Last updated in NPPES | January 29, 2024 |
| Certification date | January 29, 2024 |