Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY GLEN CLARK, P.A.
ActiveMR. GREGORY GLEN CLARK, P.A. is a Physician Assistant healthcare provider located in MARIETTA, Georgia. NPI 1730235904 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARIETTA, GA
Registration Details
- NPI Number
- 1730235904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2007 (19.541888505763 yrs)
- Last Updated
- Jul 14, 2022
- License
-
001772 (GA)
Practice Information
- Address
-
677 CHURCH ST NEMARIETTA, GA, 300601101Browse GA providers · Browse ZIP 30060
- Phone
- 7707940477
- Fax
- 7707943108
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN WEBB MACKEY | PA-C | 1932104999 |
| MR. PETER JEFF HAIRSTON | PA-C | 1386633832 |
| MR. MICHAEL BRUCE TREMMEL | PA-C | 1962491100 |
| SUSAN HOLLANDER | PA-C | 1891770327 |
| MS. KIMBERLY JANFLONE | PA | 1457324543 |
| PRIYA S. VERMA | PA | 1619943420 |
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.