Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARRICK LAMONT CLARK, PA
Active Sole ProprietorMR. DARRICK LAMONT CLARK, PA is a Surgical Physician Assistant healthcare provider located in CANTON, Georgia. NPI 1427297811 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CANTON, GA
Registration Details
- NPI Number
- 1427297811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2009 (17.542214544922 yrs)
- Last Updated
- Feb 7, 2017
- License
-
3053 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 HOLLY MILL VILLAGE DRCANTON, GA, 301147175Browse GA providers · Browse ZIP 30114
- Phone
- 6787878173
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| BERETTA CRAFT-COFFMAN | P.A.-C | 1285601880 |
| MRS. HEATHER J HALL | PA-C | 1760528434 |
| TERRI RYBAK | CST/CSFA | 1740599182 |
| BETHANY WILEY LILL | — | 1316298953 |
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.