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Justin Clack, PA
NPI 1750634754 · on the registry since 2012 · sole proprietor
Practice
- Address
- 242 King Ave Ste 130
Athens, GA 30606 - Phone
- (706) 613-5880
- Organisation at this address
- Hoffa Massage Therapy
Piedmont Athens Regional Medical Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Additional practice sites
- 550 Peachtree St Ne, Atlanta, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207RP1001X
207X00000X
207XX0801X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia