IndividualActive
Rebecca Clark, P.A.
NPI 1922067859 · Physician Assistant · Pearson, GA
Provider details
- NPI number
- 1922067859
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 001270 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
664 N Main St
Pearson, GA 31642
Phone: (912) 422-3131
Fax: (912) 422-3180
Approximate (ZIP-level) locationGet directions
Mailing address
406 W 5th St
Ocilla, GA 31774-1421
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2014-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.