Individual
DR. ELLIOTT CLINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
116 W MAPLE ST, CUMMING, GA 30040-2634
(770) 887-5040
(770) 887-1699
Mailing address
980 HOWELL MILL RD NW UNIT 419, ATLANTA, GA 30318-5959
(770) 596-3777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033220
GA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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