Clark, Amanda

Clark, Amanda is an individual health care provider with primary practice located at 95 Collier Rd Nw Suite 4075, Atlanta GA 30309-1751. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Clark, Amanda can be contacted via phone (770) 677-6075.

Contact Information

Primary practice address
95 Collier Rd Nw Suite 4075 Atlanta GA 30309-1751
Phone: (770) 677-6075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6480 Georgia

Profile Details

NPI number 1447512082
LBN Legal business name Clark, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Feb 11th, 2016 - about 9 years 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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