IndividualActive
Austin Clark, CCP
NPI 1922633932 · Perfusionist · Brentwood, TN
Provider details
- NPI number
- 1922633932
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone: (615) 345-5400
Approximate (ZIP-level) locationGet directions
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Registry dates
- Enumerated
- 2020-03-10
- Last updated
- 2020-04-22
- Certified
- 2020-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.