Christopher Clark, ATC

NPI 1487297065 · on the registry since 2019 · sole proprietor

Practice

Address: 700 Pelham Rd N
Jacksonville, AL 36265
Phone: (256) 782-5514
Fax: (256) 782-5546
Organisation at this address: Jacksonville State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-10-25

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 Alabama