MR. Darrick Lamont Clark, PA

NPI #1427297811 in Canton, Georgia

Provider Information

NPI Number
1427297811
Entity Type
Individual
Name
MR. Darrick Lamont Clark, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Feb 9, 2009
Last Updated
Feb 7, 2017

Practice Location

Address
111 HOLLY MILL VILLAGE DR
City
Canton
State
Georgia
ZIP Code
30114-7175
Phone
(678) 787-8173

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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