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Individual
SCOTT T. CLARKE
Active
Individual
SCOTT T. CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
5532
GA
363A00000X
Physician Assistant
Primary
5532
GA
Other
Enumeration date
12/29/2008
Last updated
07/24/2025
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