License holder summary

CLACK, JUSTIN PHILIP is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for CLACK, JUSTIN PHILIP is 795 PONCE DELEON PLACE, NE | APT. C3, Atlanta 30306. This doctor license is current. The license was granted 11/02/2012 and expired on 07/31/2016.

Georgia

Composite Medical Board

CLACK, JUSTIN PHILIP
Medical - Physician Assistant
License number
006639
Date granted
11/02/2012
Date expires
07/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
795 PONCE DELEON PLACE, NE | APT. C3
georgiadoctors.net
ID 38097182
LAST UPDATED 2026-05-21 17:27:58 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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