Provider Demographics
NPI:1528115409
Name:MARLAR, CLINTON ANDREW (MD)
Entity type:Individual
Prefix:
First Name:CLINTON
Middle Name:ANDREW
Last Name:MARLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:410 42ND AVE N STE 400
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3658
Mailing Address - Country:US
Mailing Address - Phone:615-292-5722
Mailing Address - Fax:615-346-6225
Practice Address - Street 1:3443 DICKERSON PIKE STE 600
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2525
Practice Address - Country:US
Practice Address - Phone:615-865-0700
Practice Address - Fax:615-865-0701
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2023-10-13
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000044476208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery