Individual provider · Type 1 NPI

Mary Olivia Clark, PA

Medical Physician Assistant · Athens, GA

NPI number 1821541152 Active

About NPI 1821541152

Mary Olivia Clark, PA's National Provider Identifier is 1821541152, issued on Aug 3, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Athens, GA. The record was last updated on Mar 4, 2026.