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Jonathan Clark
NPI 1841696820 · on the registry since 2014 · sole proprietor
Practice
- Address
- 14049 Scenic Hwy
Lookout Mountain, GA 30750 - Phone
- (706) 419-1523
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Also registered as
- Athletic Trainer
- Licence states on file
- GA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-18
- Status
- Not present in the most recent federal file
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 Georgia