Clack, Justin Philip

Clack, Justin Philip is an sole proprietor health care provider with primary practice located at 242 King Ave Ste 130 , Athens GA 30606. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Clack, Justin Philip can be contacted via phone (706) 613-5880.

Contact Information

Primary practice address
242 King Ave Ste 130 Athens GA 30606
Phone: (706) 613-5880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 6639 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6639 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 6639 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1750634754
LBN Legal business name Clack, Justin Philip
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2012
Last updated Mar 29th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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