HOLLIS JOHNSON CLARK

HERRIN, IL
NPI1154659894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  TC051)
Enumeration Date2009-11-18
Last Update Date2017-02-23
Business Address
Mr. HOLLIS JOHNSON CLARK P.A.-C.
510 LINCOLN DR
HERRIN, IL 62948-6334
Phone number: 618-997-6800
Mailing Address
Mr. HOLLIS JOHNSON CLARK P.A.-C.
4787 ALBEN BARKLEY DR SUITE 103
PADUCAH, KY 42001-6789
Phone number: 270-442-9461
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