Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. HOLLIS JOHNSON CLARK JR., P.A.-C.
ActiveMR. HOLLIS JOHNSON CLARK JR., P.A.-C. is a Physician Assistant healthcare provider located in HERRIN, Illinois. NPI 1154659894 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HERRIN, IL
Registration Details
- NPI Number
- 1154659894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2009 (16.725633720478 yrs)
- Last Updated
- Feb 23, 2017
- License
-
TC051 (KY)
Practice Information
- Address
-
510 LINCOLN DRHERRIN, IL, 629486334Browse IL providers · Browse ZIP 62948
- Phone
- 6189976800
- Fax
- 6189971187
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HERRIN, IL
| Name | Credential | NPI |
|---|---|---|
| GRETCHEN B MASON | PA-C | 1245229111 |
| MRS. MESHIA K HUGHES | PA-C | 1245288802 |
| MR. LEON GAUTHIER | PA-C | 1033145172 |
| ANNA L ANDERSON | PA-C | 1396859328 |
| ROBIN GALLO | PA-C | 1497869440 |
| MR. KEVIN L RAINEY | PAC | 1215042833 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.