GREGORY GLEN CLARK

MARIETTA, GA
NPI1730235904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  001772)
Enumeration Date2007-01-28
Last Update Date2022-07-14
Business Address
Mr. GREGORY GLEN CLARK P.A.
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-794-0477
Mailing Address
Mr. GREGORY GLEN CLARK P.A.
531 ROSELANE ST NW STE 830
MARIETTA, GA 30060-6979
Phone number: 770-794-0477
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