Organization · NPI-2
Clark-Holder Clinic, P.A.
Urology · Lagrange, GA
NPI number1487682373
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1487682373
- Entity type
- Organization (NPI-2)
- Legal business name
- Clark-Holder Clinic, P.A.
- Organization subpart
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207W00000X | Ophthalmology | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 208600000X | Surgery | – | – |
Practice location
Clark-Holder Clinic, P.A.303 Smith Street
Lagrange, GA 30240
Phone 706-882-8831 · Fax 706-812-4091
Mailing address
Clark-Holder Clinic, P.A.303 Smith Street
Lagrange, GA 30240
Phone 706-882-8831 · Fax 706-812-4091
Authorized official
Donald J Harmon
Cfo/Controller
7068124313
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.