Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Marley Clark, PAC

Individual provider Medical Physician Assistant · NPI 1487682498

Douglas Marley Clark, PAC is a Medical Physician Assistant in Harriman, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2317 S Roane St Community Care Walk In Clinic
Harriman, TN 37748-8653
Phone: (865) 590-0072
Fax: (865) 590-0069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA000000019 (TN)

Record details

NPI number1487682498
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESFebruary 15, 2012
Mailing address2317 S Roane St, Harriman, TN 37748-8653

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