Individual provider · Type 1 NPI

Avery Brunson Clark

Physician Assistant · Powder Springs, GA

NPI number 1285595306 Active

Practice location

1151 Bowerie Chase
Powder Springs, GA 30127-4940

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285595306

Avery Brunson Clark's National Provider Identifier is 1285595306, issued on Nov 19, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Powder Springs, GA. The record was last updated on Nov 19, 2025.