Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Laser & Cosmetic Dermatology, LLC

Organization Dermatology Physician · NPI 1528425360

Clark Laser & Cosmetic Dermatology, LLC is a Dermatology Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3200 Downwood Cir NW Ste 360
Atlanta, GA 30327-1610
Phone: (770) 405-9956
Fax: (888) 741-9391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 64521 (GA)

Record details

NPI number1528425360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Clark — Principal · (770) 873-9956
NPI enumeratedJanuary 25, 2016
Last updated in NPPESJanuary 25, 2016
Mailing address20 10th St Nw Unit 901, Atlanta, GA 30309-3867

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