Avery Brunson Clark

Physician Assistant · Powder Springs, GA

Individual Active NPI

NPI number 1285595306

Practice location

1151 Bowerie Chase
Powder Springs, GA 30127-4940
Phone
(770) 401-4634

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NPI record

NPI
1285595306
Entity type
Individual (Type 1)
Enumeration date
November 19, 2025
Last updated
November 19, 2025
Certified
November 19, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — GA

About Avery Clark

Avery Brunson Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1151 Bowerie Chase, Powder Springs, GA 30127-4940. The NPI number 1285595306 was assigned on November 19, 2025 and the record was last updated on November 19, 2025.

Frequently asked questions

What is the NPI number of Avery Brunson Clark?

The NPI number is 1285595306.

What is the phone number of Avery Clark?

The phone number listed for the practice location is (770) 401-4634.

Where is Avery Clark located?

1151 Bowerie Chase, Powder Springs, GA 30127-4940.

What is the taxonomy code for Avery Clark?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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