person
Mrs. Brantriesa Clark, PA-C
Medical Physician Assistant in Decatur, Georgia
NPI 1659883684

Brantriesa Clark is a Medical Physician Assistant based in Decatur, GA and is specialized in Medical. Brantriesa Clark practices in Decatur, GA and has the professional credentials of PA-C. The NPI Number for Brantriesa Clark is 1659883684 and holds a License No. (Georgia).

The current practice location address for Brantriesa Clark is 1829 Lawrenceville Hwy, Decatur, GA and can be reached out via phone at 404-292-8335.

Location: 1829 Lawrenceville Hwy, Decatur, GA, 30033-5728
person
Provider Profile Details
NPI Number
1659883684
Provider Name
Brantriesa Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1829 Lawrenceville Hwy, Decatur, GA, 30033-5728
Phone Number
404-292-8335
Fax Number
Provider Enumeration Date
10/31/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1829 Lawrenceville Hwy
City
State
Zip
30033-5728
Phone Number
404-292-8335
Fax Number
person
Provider Business Mailing Address Details
Address
1829 Lawrenceville Hwy
City
State
Zip
30033-5728
Phone Number
404-292-8335
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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