Scott T. Clarke P.A.

NPI 1457597221 - Physician Assistant - 363AS0400X

NPI Details
NPI 1457597221
Gender Male
Enumeration Date 12/29/2008
Last Updated 07/05/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
1364 CLIFTON RD NE
ATLANTA GA, 30322-1059, US
Phone (404) 712-2000
Fax
Business Location
859 EDGEWOOD AVE NE
APT B
ATLANTA GA, 30307-2547, US
Phone (678) 230-1028
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Georgia
License Number 5532
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According to our database, Scott T. Clarke P.A. NPI is 1457597221, taxonomy code is 363AS0400X and license number is 5532, license state is located at Georgia. Scott T. Clarke P.A. physically located at 1364 Clifton Rd Ne, Atlanta GA, 30322-1059. NPI Number Scott T. Clarke P.A. has the Individual type.

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1457597221 NPI number is provided on an as is basis without warranty of any kind. 1457597221 is maintained by the National Plan & Provider Enumeration System. The contents of Scott T. Clarke P.A. are for informational purposes only.