Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mattie Mae Farmer Clark, CST/CSFA

Individual provider Surgical Assistant · NPI 1891263299

Mrs. Mattie Mae Farmer Clark, CST/CSFA is a Surgical Assistant in Fayetteville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Partly verified

Some contact details are missing from the federal record.

Piedmont Fayette Hospital 1255 Highway 54 W
Fayetteville, GA 30214
Phone: (770) 719-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1891263299
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST/CSFA
Sole proprietorYes
NPI enumeratedNovember 5, 2018
Last updated in NPPESNovember 5, 2018

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