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

Individual provider Surgical Physician Assistant · NPI 1427297811

Mr. Darrick Lamont Clark, PA is a Surgical Physician Assistant in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 Holly Mill Village Dr
Canton, GA 30114-7175
Phone: (678) 787-8173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3053 (GA)

Record details

NPI number1427297811
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 9, 2009
Last updated in NPPESFebruary 7, 2017

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