Clark, Jason A
Clark, Jason A is an individual health care provider with primary practice located at 3200 Downwood Cir Nw Suite 360, Atlanta GA 30327-1610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Clark, Jason A can be contacted via phone (770) 405-9956.Contact Information
Primary practice address
3200 Downwood Cir Nw Suite 360
Atlanta GA 30327-1610
Phone: (770) 405-9956
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 64521 | Georgia |
Profile Details
| NPI number | 1295983427 |
|---|---|
| LBN Legal business name | Clark, Jason A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2008 |
| Last updated | Jan 25th, 2016 - about 8 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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