Michael A Clark, PA

NPI #1457659773 in Austell, Georgia

Provider Information

NPI Number: 1457659773
Entity Type: Individual
Name: Michael A Clark, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 10, 2011
Last Updated: Sep 21, 2022

Practice Location

Address: 3950 AUSTELL RD
City: Austell
State: Georgia
ZIP Code: 30106-1121
Phone: (770) 732-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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