Individual provider · Type 1 NPI

Lindley Hudson Clark, PA

Medical Physician Assistant · Marietta, GA

NPI number 1740964063 Active

Practice location

790 Church St NE Ste 400
Marietta, GA 30060-8957

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1740964063

Lindley Hudson Clark, PA's National Provider Identifier is 1740964063, issued on Jun 15, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marietta, GA. The record was last updated on Jan 2, 2025.