IndividualActive
Johanna Clark, CSA
NPI 1487854162 · Surgical Technologist · Atlanta, GA
Provider details
- NPI number
- 1487854162
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
8409 Dunwoody Pl
Atlanta, GA 30350-3367
Phone: (770) 594-1351
Approximate (ZIP-level) locationGet directions
Mailing address
8409 Dunwoody Pl
Atlanta, GA 30350-3367
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.