Search › Georgia › 363LG0600X
Cotenna Clark
NPI 1801401112 · on the registry since 2020 · sole proprietor
Practice
- Address
- 57 Executive Park South Ne
Atlanta, GA 30329 - Phone
- (404) 712-6929
- Fax
- (404) 712-0278
- Organisation at this address
- The Emory Clinic Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Also registered as
- 363LA2200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-11
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