MRS. CRYSTAL CLARK SEN (NPI# 1235308909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235308909 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL CLARK SEN |
| Credential | PA-C, MMSC |
| Practice Address |
3400 Old Milton Pkwy Ste C500 Alpharetta GA 30005 |
| Mailing Address |
6600 Peachtree Dunwoody Rd Bld 600, Ste 325 Atlanta GA 30328 |
| Practice Telephone | 6787752284 |
| Practice Fax Number | 6787752285 |
| Mailing Telephone | 4048761906 |
| Mailing Fax Number | 4042568506 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005269 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6135 Barfield Rd Ste 200, Atlanta, GA 303284308 | 4042568500 | 4042568506 |
| 550 Peachtree St Ne, Suite 1550, Atlanta, GA 303082208 | 4042568500 | 4042568506 |
| Street Address |
3400 OLD MILTON PKWY STE C500 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679621239 | Jeffrey K. Marlow | Internal Medicine | 3400 Old Milton Pkwy Ste C500, Alpharetta, GA 30005-4408 | 2007-01-08 |
| 1720303241 | Ramya Embar Srinivasan | Internal Medicine | 3400 Old Milton Pkwy Ste C500, Alpharetta, GA 30005-4408 | 2010-03-29 |
| 1043540768 | Tamara S Greene | Psychiatry & Neurology | 3400 Old Milton Pkwy Ste C500, Alpharetta, GA 30005 | 2009-12-31 |
| 1497916753 | Philip Alton Berry | Internal Medicine | 3400 Old Milton Pkwy Ste C500, Alpharetta, GA 30005-4408 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1568810299 | Natasha Jivani | Physician Assistant | 11968 Thornbury Vw, Alpharetta, GA 30005-9016 | 2016-06-03 |
| 1629448584 | Kara Livingston Harris | Physician Assistant | 3400c Old Milton Pkwy Ste 270, Alpharetta, GA 30005-4438 | 2015-10-04 |
| 1114226842 | Beverly O'bryan Cartwright | Physician Assistant | 3400c Old Milton Pkwy # 270, Alpharetta, GA 30005-4438 | 2011-03-21 |
| 1295934495 | Namita M Kumar | Physician Assistant | 3155 North Point Pkwy, Bldg E, Suite 100, Alpharetta, GA 30005-5494 | 2007-07-17 |
| 1831247501 | Jaime Drummond Kutter | Physician Assistant | 3400b Old Milton Pkwy, Alpharetta, GA 30005 | 2007-01-08 |
| 1023025400 | Hiral N Patel | Physician Assistant | 2365 Old Milton Pkwy Ste 300, Alpharetta, GA 30009-2140 | 2006-08-01 |
| 1306804018 | Wayne Emineth | Physician Assistant | 401 S Main St Ste A2, Alpharetta, GA 30009-1957 | 2006-05-02 |
| 1578194973 | Helen Zhang | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-02-04 |
| 1750923884 | Jessica Munie | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2019-10-09 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on MRS. CRYSTAL CLARK SEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.