MICHAEL A CLARK

AUSTELL, GA
NPI1457659773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  6072)
Enumeration Date2011-03-10
Last Update Date2022-09-21
Business Address
MICHAEL A CLARK PA
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-5000
Mailing Address
MICHAEL A CLARK PA
5665 NEW NORTHSIDE DR NW SUITE 320
ATLANTA, GA 30328-5831
Phone number: 770-874-5468
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