| Mary Olivia Clark, PA | |
|
2142 W Broad St, Bldg 100, Ste 200, Athens, GA 30606-3509 | |
| (706) 548-6881 | |
| (706) 546-0821 |
| Full Name | Mary Olivia Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 2142 W Broad St, Bldg 100, Ste 200, Athens, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821541152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 8057 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Hospital | Athens, GA | Hospital |
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Mary's Medical Group, Inc. | 7113098393 | 106 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Olivia Clark, PA Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3740 | Mary Olivia Clark, PA 2142 W Broad St, Bldg 100, Ste 200, Athens, GA 30606-3509 Ph: (706) 548-6881 |
Kayla Weaver, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3320 Old Jefferson Rd, Athens, GA 30607 Phone: 706-613-1625 | |
Kalen Elizabeth Ashford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1061 Dowdy Rd Ste 202, Athens, GA 30606 Phone: 706-389-8941 Fax: 706-389-8942 | |
Amanda Wilkins, CAA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-543-3449 | |
Julie A Puder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Hawthorne Ln, Athens, GA 30606 Phone: 706-353-7648 Fax: 706-353-7788 | |
Joseph Hale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1765 Old West Broad St, Athens, GA 30606 Phone: 706-549-1663 Fax: 706-546-8792 | |
Marie B Anderson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Trinity Pl, Athens, GA 30607 Phone: 706-543-2718 Fax: 706-353-3709 | |
Jeremy Bagge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Hawthorne Ave Ste J, Athens, GA 30606 Phone: 706-286-8344 Fax: 706-286-8346 |