| Mr Clark Rafael Hernandez, PAC | |
|
Three Sheridan Square, Kingsport, TN 37660 | |
| (423) 392-6840 | |
| (423) 392-6845 |
| Full Name | Mr Clark Rafael Hernandez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | Three Sheridan Square, Kingsport, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306941372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA0000000871 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clark Rafael Hernandez, PAC Three Sheridan Square, Kingsport, TN 37660 Ph: (423) 392-6840 | Mr Clark Rafael Hernandez, PAC Three Sheridan Square, Kingsport, TN 37660 Ph: (423) 392-6840 |
Mr. Harold Christopher Little, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3 Sheridan Square, Kingsport, TN 37660 Phone: 423-392-6840 Fax: 423-392-6845 | |
Sarah Katherine Falconer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660 Phone: 423-857-6466 | |
Laura Wagner, Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 W Stone Dr Ste 1f, Kingsport, TN 37660 Phone: 423-230-2420 | |
Mr. Steven J Mclaughlin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 Clinchfield St Ste 103, Kingsport, TN 37660 Phone: 423-578-1518 | |
Hunter Alan Shipley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 W Stone Dr Ste 4b, Kingsport, TN 37660 Phone: 423-578-1570 | |
Teresa Anne Starke, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Square, Suite 110, Kingsport, TN 37660 Phone: 423-408-1504 | |
Mr. Paul Diers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 Phone: 423-245-3161 Fax: 423-857-8129 |