Individual
MISS LAURIE ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
95 COLLIER RD NW STE 6015, ATLANTA, GA 30309-1750
(491) 351-5959
Mailing address
5673 PEACHTREE DUNWOODY RD NE, SUITE 870, ATLANTA, GA 30342-1731
(443) 910-2510
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
07/21/2022
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