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Search › Georgia › Certified Registered Nurse Anesthetist

Kelley Clark, CRNA

NPI 1245652528 · on the registry since 2014

Practice

Address
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone
(678) 312-1000
Fax
(678) 312-3282
Organisation at this address
Northside Hospital Inc
Northside Hospital, Inc.
Gwinnett Pathology Assoc Pc
Gwinnett Medical Group, Inc
Gwinnett Physician Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
493

Registry record

Primary taxonomy
Certified Registered Nurse Anesthetist
367500000X
Also registered as
Certified Registered Nurse Anesthetist
Licence states on file
GA, MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia