CLARK-HOLDER CLINIC P.A. NPI 1487682373

NPI Information

  • NPI: 1487682373
  • Provider Name: CLARK-HOLDER CLINIC, P.A.
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: CLARK-HOLDER CLINIC, P.A.
    303 SMITH STREET
    LAGRANGE, GA
    ZIP 30240
  • Phone: (706) 882-8831

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NPI Details

CLARK-HOLDER CLINIC, P.A. is an urology in Lagrange, GA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CLARK-HOLDER CLINIC, P.A. NPI is 1487682373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

CLARK-HOLDER CLINIC, P.A.
303 SMITH STREET
LAGRANGE, GA
ZIP 30240
Phone: (706) 882-8831
Fax: (706) 812-4091

The provider's authorized official is Donald J Harmon .
The authorized official title is Cfo/controller and has the following contact phone number (706) 812-4313.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207RI0200XInternal MedicineInfectious DiseaseNo
7207RP1001XInternal MedicinePulmonary DiseaseNo
8207V00000XObstetrics & GynecologyNo
9207W00000XOphthalmologyNo
10207X00000XOrthopaedic SurgeryNo
11207Y00000XOtolaryngologyNo
12207YS0123XOtolaryngologyFacial Plastic SurgeryNo
132085R0202XRadiologyDiagnostic RadiologyNo
14208600000XSurgeryNo
15208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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