SearchArkansas2255A2300X

Charles Wardlaw, ATC

NPI 1316474885 · on the registry since 2017 · sole proprietor

Practice

Address
100 W Holly Rd
Junction City, AR 71749
Phone
(870) 924-4575
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas