Individual provider · Type 1 NPI

Justin Philip Clack, PA

Physician Assistant · Athens, GA

NPI number 1750634754 Active

Practice location

242 King Ave Ste 130
Athens, GA 30606

Call (706) 613-5880 Map

Mailing address

550 Peachtree Street, Davis Fischer Building Office 330
Atlanta, GA 30308

Other practice locations

  • 550 Peachtree St NE, Davis Fischer Building Office 330, Atlanta, GA 30308-2208 · (404) 686-7858

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician 207RP1001X6639 (GA)
Orthopaedic Surgery Physician 207X00000X6639 (GA)
Orthopaedic Trauma Physician 207XX0801X6639 (GA)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750634754

Justin Philip Clack, PA's National Provider Identifier is 1750634754, issued on Oct 16, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Athens, GA. The record was last updated on Mar 29, 2024.