Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRANTRIESA CLARK, PA
ActiveMRS. BRANTRIESA CLARK, PA is a Physician Assistant healthcare provider located in COVINGTON, Georgia. NPI 1659883684 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COVINGTON, GA
Registration Details
- NPI Number
- 1659883684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2017 (8.7630888233739 yrs)
- Last Updated
- Jun 19, 2025
- Licenses
-
8587 (GA)8587 (GA)
Practice Information
- Address
-
4181 HOSPITAL DR NE STE 205COVINGTON, GA, 300142541Browse GA providers · Browse ZIP 30014
- Phone
- 6783428677
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in COVINGTON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. JURIAAN MARTIJN VAN DER HEIJDEN | PA | 1013909159 |
| ASHLEY E HEATH | PA | 1053573212 |
| MISS JAMIE THOMAS BURKE | PA-C | 1417294216 |
| MRS. CAITLIN ELIZABETH KRIEGER | PA-C | 1558764548 |
| SETH MONROE PARK | PA | 1730650144 |
| MRS. TIFFANY BLAMBLE | PA-C | 1124682281 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.