| Dr Charles Thomas Clark, DO | |
|
313 Parks Hall, Athens, OH 45701 | |
| (740) 593-2444 | |
| (740) 593-0905 |
| Full Name | Dr Charles Thomas Clark |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 313 Parks Hall, Athens, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568434397 | NPI | - | NPPES |
| 0542158 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34--003631 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Thomas Clark, DO 313 Parks Hall, Athens, OH 45701 Ph: (740) 593-2444 | Dr Charles Thomas Clark, DO 313 Parks Hall, Athens, OH 45701 Ph: (740) 593-2444 |
Jessica L Marcum, CNP Pediatrics Medicare: Medicare Enrolled Practice Location: 2131 E State St, Athens, OH 45701 Phone: 740-589-3100 | |
Jessica A. James, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2131 E State St, Athens, OH 45701 Phone: 740-589-3100 Fax: 740-589-3123 | |
Dr. James Richard Gaskell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 278 W Union St, Athens, OH 45701 Phone: 740-592-4431 Fax: 740-594-2370 | |
Katherine Ernst Frank, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2131 E State St, Athens, OH 45701 Phone: 855-446-5937 | |
Connie Jo Mccarroll, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 313 Parks Hall, Athens, OH 45701 Phone: 740-593-2444 Fax: 740-593-0905 | |
Lori L. Woolison Rutter, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 75 Hospital Dr Ste 350, Athens, OH 45701 Phone: 740-592-7040 Fax: 740-592-7041 |