Avery Brunson Clark

NPI #1285595306 in Powder Springs, Georgia

Provider Information

NPI Number: 1285595306
Entity Type: Individual
Name: Avery Brunson Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 19, 2025
Last Updated: Nov 19, 2025

Practice Location

Address: 1151 BOWERIE CHASE
City: Powder Springs
State: Georgia
ZIP Code: 30127-4940
Phone: (770) 401-4634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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