SearchGeorgiaSurgical Physician Assistant

Darrick Clark, PA

NPI 1427297811 · on the registry since 2009 · sole proprietor

Practice

Address
111 Holly Mill Village Dr
Canton, GA 30114
Phone
(678) 787-8173

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-07
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia