Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN PHILIP CLACK, PA
Active Sole ProprietorJUSTIN PHILIP CLACK, PA is a Physician Assistant healthcare provider located in ATHENS, Georgia. NPI 1750634754 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ATHENS, GA
Registration Details
- NPI Number
- 1750634754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2012 (13.640277469483 yrs)
- Last Updated
- Mar 29, 2024
- Licenses
-
6639 (GA)6639 (GA)6639 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
242 KING AVE STE 130ATHENS, GA, 30606Browse GA providers · Browse ZIP 30606
- Phone
- 7066135880
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Trauma
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ATHENS, GA
| Name | Credential | NPI |
|---|---|---|
| MARIE B ANDERSON | P.A. | 1013916774 |
| ERIN BOYER KILZI | PAC | 1114914207 |
| KELLY P WARD | PA | 1073595104 |
| MR. DAVID WRIGHT | PA-C | 1669454716 |
| JOSEPH HALE | PA-C | 1003899253 |
| MR. LARRY YANCEY SHUMAN | PA-C | 1700869955 |
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.