Individual provider · Type 1 NPI
Mary Olivia Clark, PA
Medical Physician Assistant · Athens, GA
NPI number
1821541152
Active
Practice location
2142 W Broad St, Bldg 100, Ste 200
Athens, GA 30606-3509
Fax (706) 546-0821
Mailing address
PO Box 48089
Athens, GA 30604-8089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 8057 (GA) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- Bryan B. Barnes, MDNeurological Surgery Physician Athens, GA NPI 1548281363
- Feroze Afzal, MDNeurology Physician Athens, GA NPI 1598029423
- John V. Cuff, MDNeurological Surgery Physician Athens, GA NPI 1275554024
- Matthew D. Kellar, PTPhysical Therapist Athens, GA NPI 1013256643
- Michael Neil Woodall, MDNeurological Surgery Physician Athens, GA NPI 1144458662
- Viren S. Vasudeva, MDNeurological Surgery Physician Athens, GA NPI 1386930170
Other medical physician assistant providers in Athens
- Kayla WeaverMedical Physician Assistant Athens, GA NPI 1003110081
- Kalen Elizabeth Ashford, PA-CMedical Physician Assistant Athens, GA NPI 1003257163
- Julie A. Puder, PA-CMedical Physician Assistant Athens, GA NPI 1003836891
- Jeremy Bagge, PA-CMedical Physician Assistant Athens, GA NPI 1023085974
- Haley Bauguss, PA-CMedical Physician Assistant Athens, GA NPI 1093209538
- Anna Cauthen McFather, PA-CMedical Physician Assistant Athens, GA NPI 1124501184
- Tracy Crockett, P.A.Medical Physician Assistant Athens, GA NPI 1184626996
- Julia Ghyzel Ashford, PA-CMedical Physician Assistant Athens, GA NPI 1295491330
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.