MRS. Brantriesa Clark, PA-C is a medical physician assistant in Decatur, GA with 7 years of experience. MRS. Brantriesa Clark, PA-C NPI is 1659883684. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1829 LAWRENCEVILLE HWY
DECATUR, GA
ZIP 30033-728
Phone: (404) 292-8335
The NPI 1659883684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/31/2017 and was last updated on 5/19/2023.