DARRICK LAMONT CLARK

CANTON, GA
NPI1427297811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  3053)
Enumeration Date2009-02-09
Last Update Date2017-02-07
Business Address
Mr. DARRICK LAMONT CLARK PA
111 HOLLY MILL VILLAGE DR
CANTON, GA 30114-7175
Phone number: 678-787-8173
Mailing Address
Mr. DARRICK LAMONT CLARK PA
111 HOLLY MILL VILLAGE DR
CANTON, GA 30114-7175
Phone number: 678-787-8173
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