Organization
CLARK-HOLDER CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J HARMON (CFO/CONTROLLER)
(706) 812-4313
Entity
Organization
Contact information
Practice address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Mailing address
CLARK-HOLDER CLINIC, P.A., 303 SMITH STREET, LAGRANGE, GA 30240
(706) 882-8831
(706) 812-4091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
09/11/2025
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