Mr Darrick Lamont Clark, PA - Physician Assistant in Canton, GA

Mr Darrick Lamont Clark, PA is a Physician Assistant - Surgical based in Canton, Georgia. Mr Darrick Lamont Clark is licensed to practice in Georgia (license number 3053) and his current practice location is 111 Holly Mill Village Dr, Canton, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 787-8173.

NPI number for Mr Darrick Lamont Clark is 1427297811 and his current mailing address is 111 Holly Mill Village Dr, Canton, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427297811.

Contact Information

Mr Darrick Lamont Clark, PA
111 Holly Mill Village Dr,
Canton, GA 30114-7175
(678) 787-8173
Not Available



Provider's Profile

Full NameMr Darrick Lamont Clark
GenderMale
SpecialityPhysician Assistant - Surgical
Location111 Holly Mill Village Dr, Canton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427297811
  • Provider Enumeration Date: 02/09/2009
  • Last Update Date: 02/07/2017

Medical Identifiers

Medical identifiers for Mr Darrick Lamont Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427297811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 3053 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Darrick Lamont Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Darrick Lamont Clark, PA
111 Holly Mill Village Dr,
Canton, GA 30114-7175

Ph: (678) 787-8173
Mr Darrick Lamont Clark, PA
111 Holly Mill Village Dr,
Canton, GA 30114-7175

Ph: (678) 787-8173

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› Verified 9 days ago


Physician Assistant Nurses in Canton, GA

Uma T Daya, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 220 Oakside Ln, Canton, GA 30114
Phone: 678-807-1050    Fax: 770-720-7384
Alyssa Giardina,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 216 Moore Valley Way, Canton, GA 30115
Phone: 678-710-1312    
Mr. Colin Flanagan, PS-S
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 150 Cedar Woods Trl, Canton, GA 30114
Phone: 631-807-5906    
Mrs. Kirby Brown Reinecke, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 120 Oakside Ct, Suite H, Canton, GA 30114
Phone: 678-880-8770    Fax: 770-213-4418
Richard F Hamaker, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 220 Oakside Ln, Canton, GA 30114
Phone: 678-807-1050    Fax: 678-807-1055
Mr. Eddy Toussaint, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115
Phone: 770-292-3490    Fax: 770-721-5615
Rayllensons Itacy, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2020 Cumming Highway, Suite 102, Canton, GA 30115
Phone: 678-593-1295    Fax: 678-593-1294

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