Charlene E Clark (NPI# 1144621756, PAC ID# 8123240926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144621756 |
| PAC ID by PECOS | 8123240926 |
| Professional Enrollment ID | I20141111001752 |
| Full Name | Charlene E Clark |
| Organization Legal Name | HARDIN EMERGENCY GROUP LLC |
| Address |
935 Wayne Rd Savannah TN 38372-1904 |
| Phone Number | 7319268000 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769633148 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440070 | DECATUR COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 969 S Tennessee Ave, Parsons, TN 38363-3700 | 9018473031 | DECATUR COUNTY GENERAL HOSPITAL |
| 935 Wayne Rd, Savannah, TN 38372-1904 | 7319268000 | HARDIN EMERGENCY GROUP LLC |
| Organization Legal Name | HARDIN EMERGENCY GROUP LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Biggers | Osteopathic Manipulative Medicine | Hardin Emergency Group LLC | 935 Wayne Rd, Savannah, TN 38372-1904 |
| Street Address |
935 WAYNE RD |
| City | SAVANNAH |
| State | TN |
| Zip | 38372-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Biggers | Osteopathic Manipulative Medicine | Hardin Emergency Group LLC | 935 Wayne Rd, Savannah, TN 38372-1904 |
| Sheena D Henry | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 935 Wayne Rd, Savannah, TN 38372-1904 |
| Christina R Zavatchen | Certified Registered Nurse Anesthetist (crna) | 935 Wayne Rd, Savannah, TN 38372-1904 | |
| Jacob C Carroll | Certified Registered Nurse Anesthetist (crna) | 935 Wayne Rd, Savannah, TN 38372-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa P Marbury | Nurse Practitioner | 895 Clifton Rd, Savannah, TN 38372-1473 | |
| Katherine Welch Forsbach | Nurse Practitioner | 1565 Wayne Rd, Savannah, TN 38372-1581 | |
| Donna R Norris | Nurse Practitioner | Tennessee Family Clinic | 1565 Wayne Rd, Savannah, TN 38372-1581 |
| Gigi Wood Davis | Family Medicine | 1010 Wayne Rd, Suite 100, Savannah, TN 38372-1598 | |
| Christa R Campbell | Clinical Social Worker | Hardin County Regional Health Center | 150 E End Dr, Savannah, TN 38372-1712 |
| Gilbert M Thayer | Emergency Medicine | Hardin County Regional Health Center | 105 Davis St, Savannah, TN 38372-1855 |
| Matthew King | Nurse Practitioner | Hmc Physician Services | 935 B Wayne Rd, Savannah, TN 38372-1904 |
| Brian Qualls | Family Medicine | Hmc Physician Services | 935 B Wayne Rd, Savannah, TN 38372-1904 |
| Timothy R Klein | Hospitalist | Hmc Physician Services | 935 B Wayne Rd, Savannah, TN 38372-1904 |
| Barry J Hennessey | Orthopedic Surgery | Hmc Physician Services | 935 B Wayne Rd, Savannah, TN 38372-1904 |
| Find all physicians in zip 38372 | |||
| City | SAVANNAH |
| Zip Code | 38372 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAVANNAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charlene E Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.