All Medicaid billing entities listing CLARK, CHARLENE (FAMILY NURSE PRACITITIONER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $21K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CLARK FAMILY CLINIC, LLC | BOLIVAR, TN | Primary Care Clinic/Center | $21K |