Search › Georgia › 363A00000X

Brantriesa Clark, PA

NPI 1659883684 · on the registry since 2017

Practice

Address
4181 Hospital Dr Ne Ste 205
Covington, GA 30014
Phone
(678) 342-8677
Organisation at this address
Orthoatlanta, Llc
Georgia Urology Pa
Juliana Nahas, Md Pc
Newton Health System, Inc.
Internal Medicine Of Newton Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Additional practice sites

  • 1829 Lawrenceville Hwy, Decatur, GA
  • 5447 Dividend Dr, Lithonia, GA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
207RC0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-19

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