Clark, Darrick Lamont
Clark, Darrick Lamont is an sole proprietor health care provider with primary practice located at 111 Holly Mill Village Dr , Canton GA 30114-7175. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Clark, Darrick Lamont can be contacted via phone (678) 787-8173.Contact Information
Primary practice address
111 Holly Mill Village Dr
Canton GA 30114-7175
Phone: (678) 787-8173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3053 | Georgia |
Profile Details
| NPI number | 1427297811 |
|---|---|
| LBN Legal business name | Clark, Darrick Lamont |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2009 |
| Last updated | Feb 7th, 2017 - about 7 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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