Individual provider · Type 1 NPI

Peyton Lain Clark, PA-C

Medical Physician Assistant · Memphis, TN

NPI number 1922840495 Active

Practice location

848 Adams Ave
Memphis, TN 38103-2816

Mailing address

80 S Arcadian Cir Apt 103
Memphis, TN 38103-5988

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5890 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1922840495

Peyton Lain Clark, PA-C's National Provider Identifier is 1922840495, issued on Jun 6, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Memphis, TN. The record was last updated on Aug 23, 2026.