Individual provider · Type 1 NPI

Amanda Clark, PA-C

Surgical Physician Assistant · Cumming, GA

NPI number 1447512082 Active

Practice location

610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9778

Call (770) 205-2804 Map

Fax (770) 205-2854

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X6480 (GA)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1447512082

Amanda Clark, PA-C's National Provider Identifier is 1447512082, issued on Jun 11, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cumming, GA. The record was last updated on Dec 13, 2024.