CLARK LASER & COSMETIC DERMATOLOGY, LLC

ATLANTA, GA
NPI1528425360
Entity TypeOrganization
Authorized ContactJASON A CLARK
Principal
770-873-9956
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: GA  64521)
Enumeration Date2016-01-25
Last Update Date2016-01-25
Business Address
CLARK LASER & COSMETIC DERMATOLOGY, LLC
3200 DOWNWOOD CIR NW SUITE 360
ATLANTA, GA 30327-1610
Phone number: 770-405-9956
Mailing Address
CLARK LASER & COSMETIC DERMATOLOGY, LLC
20 10TH ST NW UNIT 901
ATLANTA, GA 30309-3867
Phone number: 770-873-9956
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