Organization
ADVANCE COGNITIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON CLARK MD (OWNER)
(404) 316-7159
Entity
Organization
Contact information
Practice address
4666 RANDALWOOD DR, STONE MOUNTAIN, GA 30083-4350
(770) 670-0540
(770) 670-0540
Mailing address
4666 RANDALWOOD DR, STONE MOUNTAIN, GA 30083-4350
(770) 670-0540
(770) 670-0540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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