Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ALAN WARDLAW, ATC
Active Sole ProprietorCHARLES ALAN WARDLAW, ATC is a Athletic Trainer healthcare provider located in JUNCTION CITY, Arkansas. NPI 1316474885 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JUNCTION CITY, AR
Registration Details
- NPI Number
- 1316474885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2017 (9.2188673229974 yrs)
- Last Updated
- May 16, 2017
- License
-
694 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 W HOLLY RDJUNCTION CITY, AR, 717499031Browse AR providers · Browse ZIP 71749
- Phone
- 8709244575
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.