Rebecca A Clark in Pearson - Physician Assistant
Rebecca A Clark - NPI 1922067859
Rebecca A Clark is a Physician Assistant in Pearson, Georgia. Rebecca A Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rebecca A Clark is 1922067859. The last update date is 2014-11-03.
Rebecca A Clark's current location address is 664 N Main St, Pearson, Georgia. You can contact this provider via phone number 9124223131 and fax number 9124223180. The mailing address for Rebecca A Clark is 664 N Main St, Pearson, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca A Clark |
|---|---|
| Address | 664 N Main St, Pearson, Georgia |
| Phone Number | 9124223131 |
| Fax Number | 9124223180 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1922067859 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2014-11-03 |
Provider Mailing Address Detail
| Address | 664 N Main St |
|---|---|
| City | Pearson |
| State | Georgia (GA) |
| Post Code | 31642 |
| Phone Number | 9124223131 |
| Fax Number | 9124223180 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1270 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100000746B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rebecca A Clark by the Centers for Medicare & Medicaid Services?
The Rebecca A Clark has been issued the NPI (National Provider Identifier) 1922067859, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Rebecca A Clark?
The Rebecca A Clark is physically situated at 664 N Main St, in the city of Pearson, state of GA, with the postal code 31642.
What is Rebecca A Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rebecca A Clark is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Rebecca A Clark receive the assignment of its 1922067859 from the Centers for Medicare & Medicaid Services?
The Rebecca A Clark was issued its 1922067859 by the Centers for Medicare & Medicaid Services on 2006-03-20.
When was the information regarding Rebecca A Clark most recently updated?
The details pertaining to the Rebecca A Clark, including its address, specialty, and other relevant information, were last refreshed on 2014-11-03.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH