MARY OLIVIA CLARK

ATHENS, GA
NPI1821541152
Other NameOLIVIA CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  8057)
Enumeration Date2016-08-03
Last Update Date2022-10-25
Business Address
MARY OLIVIA CLARK PA
2142 W BROAD ST, BLDG 100, STE 200
ATHENS, GA 30606-3509
Phone number: 706-548-6881
Mailing Address
MARY OLIVIA CLARK PA
PO BOX 48089
ATHENS, GA 30604-8089
Phone number: 706-389-3740
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